| Wolfson Psychological Services, P.c. | |
|
149 Oak Knoll Ter Highland Park IL 60035-5320 | |
| (847) 433-4450 | |
| (847) 433-5464 |
| Full Name | Wolfson Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 149 Oak Knoll Ter, Highland Park, Illinois |
| Authorized Official Name and Position | Ivan A. Wolfson (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8474334450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolfson Psychological Services, P.c. 149 Oak Knoll Ter Highland Park IL 60035-5320 Ph: (847) 433-4450 | Wolfson Psychological Services, P.c. 149 Oak Knoll Ter Highland Park IL 60035-5320 Ph: (847) 433-4450 |
| NPI Number | 1194851477 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 05/14/2014 |
| Medicare PECOS PAC ID | 3577500271 |
|---|---|
| Medicare Enrollment ID | O20050414000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194851477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-005558 (Illinois) | Primary |
| Provider Name | Ivan A Wolfson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205814456 PECOS PAC ID: 9739126434 Enrollment ID: I20050421000661 |
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