| Violet Theodos, Ph.d. Pllc | |
|
1550 Spring Rd Ste 220 Oak Brook IL 60523-1362 | |
| (630) 233-4740 | |
| Not Available |
| Full Name | Violet Theodos, Ph.d. Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1550 Spring Rd Ste 220, Oak Brook, Illinois |
| Authorized Official Name and Position | Violet Theodos (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6302334740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Violet Theodos, Ph.d. Pllc 1215 W Hunter Ct Addison IL 60101-1125 Ph: (630) 233-4740 | Violet Theodos, Ph.d. Pllc 1550 Spring Rd Ste 220 Oak Brook IL 60523-1362 Ph: (630) 233-4740 |
| NPI Number | 1295357515 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 0840612008 |
|---|---|
| Medicare Enrollment ID | O20200617002420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295357515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Violet Theodos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184948184 PECOS PAC ID: 3870738461 Enrollment ID: I20130402000503 |
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