| Thomas J Cahill Phd Pc | |
|
1325 Community Memorial Dr La Grange IL 60525-2659 | |
| (708) 245-8940 | |
| (708) 245-5604 |
| Full Name | Thomas J Cahill Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1325 Community Memorial Dr, La Grange, Illinois |
| Authorized Official Name and Position | Thomas J Cahill (PRES.PSYCHOLOGIST) |
| Authorized Official Contact | 7082458940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Cahill Phd Pc 1325 Community Memorial Dr La Grange IL 60525-2659 Ph: (708) 245-8940 | Thomas J Cahill Phd Pc 1325 Community Memorial Dr La Grange IL 60525-2659 Ph: (708) 245-8940 |
| NPI Number | 1710179288 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 12/13/2018 |
| Medicare PECOS PAC ID | 7416042163 |
|---|---|
| Medicare Enrollment ID | O20070926001081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710179288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0712048 (Illinois) | Primary |
| 103TH0100X | Psychologist - Health Service | 0712048 (Illinois) | Secondary |
| Provider Name | Thomas J Cahill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629123849 PECOS PAC ID: 7416901384 Enrollment ID: I20050303000900 |
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