| Wellqor Psychological Services Of Illinois, P.c. | |
|
1100 Cougar Trl Cary IL 60013-6057 | |
| (516) 987-4200 | |
| Not Available |
| Full Name | Wellqor Psychological Services Of Illinois, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1100 Cougar Trl, Cary, Illinois |
| Authorized Official Name and Position | James Dennis Mctague (OWNER) |
| Authorized Official Contact | 5169874200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellqor Psychological Services Of Illinois, P.c. 1100 Cougar Trl Cary IL 60013-6057 Ph: () - | Wellqor Psychological Services Of Illinois, P.c. 1100 Cougar Trl Cary IL 60013-6057 Ph: (516) 987-4200 |
| NPI Number | 1104353762 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 2769751999 |
|---|---|
| Medicare Enrollment ID | O20170703001175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104353762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | James Mctague |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114022027 PECOS PAC ID: 9739281957 Enrollment ID: I20070219000479 |
| Provider Name | Anna Sarenac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134491137 PECOS PAC ID: 2466616651 Enrollment ID: I20120620000329 |
| Provider Name | Robin Leigh Zoeller Pullman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922497429 PECOS PAC ID: 0446530851 Enrollment ID: I20161130002193 |
| Provider Name | Gabrielle L Wolk-phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669910923 PECOS PAC ID: 6305120726 Enrollment ID: I20170303000570 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528579760 PECOS PAC ID: 2062778483 Enrollment ID: I20171117000145 |
| Provider Name | Vicki S Homola-meckes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083163497 PECOS PAC ID: 8729334982 Enrollment ID: I20180702002698 |
| Provider Name | Sehrish Tariq |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174972020 PECOS PAC ID: 0345585519 Enrollment ID: I20181215000232 |
| Provider Name | Thea Angel Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952869893 PECOS PAC ID: 4981096138 Enrollment ID: I20220119002886 |
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