| Yehuda Krohn, Psy.d., P.c. | |
|
6677 N Lincoln Ave Suite 232 Lincolnwood IL 60712-3619 | |
| (847) 763-1184 | |
| (847) 258-7750 |
| Full Name | Yehuda Krohn, Psy.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 6677 N Lincoln Ave, Lincolnwood, Illinois |
| Authorized Official Name and Position | Yehuda Krohn (PRESIDENT) |
| Authorized Official Contact | 8477631184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yehuda Krohn, Psy.d., P.c. 6677 N Lincoln Ave Suite 232 Lincolnwood IL 60712-3619 Ph: (847) 763-1184 | Yehuda Krohn, Psy.d., P.c. 6677 N Lincoln Ave Suite 232 Lincolnwood IL 60712-3619 Ph: (847) 763-1184 |
| NPI Number | 1548617012 |
|---|---|
| Provider Enumeration Date | 05/15/2016 |
| Last Update Date | 05/16/2016 |
| Medicare PECOS PAC ID | 9638462849 |
|---|---|
| Medicare Enrollment ID | O20160726001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548617012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006501 (Illinois) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 071006501 (Illinois) | Secondary |
| Provider Name | Yehuda Krohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245360858 PECOS PAC ID: 5294793352 Enrollment ID: I20041221000905 |
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