Tobias And Associates, P.c. | |
1580 S Milwaukee Ave Ste 502 Libertyville IL 60048-3776 | |
(847) 525-0810 | |
Not Available |
Full Name | Tobias And Associates, P.c. |
---|---|
Speciality | Psychologist |
Location | 1580 S Milwaukee Ave Ste 502, Libertyville, Illinois |
Authorized Official Name and Position | Ralph John Tobias (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8475250810 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tobias And Associates, P.c. 1037 W Partridge Dr Palatine IL 60067-7044 Ph: (847) 525-0810 | Tobias And Associates, P.c. 1580 S Milwaukee Ave Ste 502 Libertyville IL 60048-3776 Ph: (847) 525-0810 |
NPI Number | 1205010550 |
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Provider Enumeration Date | 12/21/2007 |
Last Update Date | 12/20/2022 |
Certification Date | 12/20/2022 |
Medicare PECOS PAC ID | 9234285347 |
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Medicare Enrollment ID | O20090915000291 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205010550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071005174 (Illinois) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
Provider Name | Ralph J Tobias |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699787598 PECOS PAC ID: 6507883410 Enrollment ID: I20051031000383 |
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