Amy Siston, PHD | |
5841 S Maryland Ave, Mc 3077, Chicago, IL 60637-1447 | |
(773) 702-9720 | |
Not Available |
Full Name | Amy Siston |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 26 Years |
Location | 5841 S Maryland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902044324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071005972 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Of Chicago Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The University Of Chicago Medical Center | 7618880766 | 779 |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Mailing Address | Practice Location Address |
---|---|
Amy Siston, PHD 5841 S Maryland Ave, Mc 3077, Chicago, IL 60637-1447 Ph: () - | Amy Siston, PHD 5841 S Maryland Ave, Mc 3077, Chicago, IL 60637-1447 Ph: (773) 702-9720 |
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