Dr Allison T Krutul, PSYD | |
1701 Curtis Rd, Psychology, Champaign, IL 61822-9678 | |
(217) 365-6206 | |
(217) 326-4003 |
Full Name | Dr Allison T Krutul |
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Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 1701 Curtis Rd, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588971758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Allison T Krutul, PSYD Po Box 6002, Urbana, IL 61803-6002 Ph: (217) 326-8630 | Dr Allison T Krutul, PSYD 1701 Curtis Rd, Psychology, Champaign, IL 61822-9678 Ph: (217) 365-6206 |
Rachael D Rubin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-255-9580 Fax: 217-255-9650 | |
Kathryn Leskis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 N Neil St Ste 210, Champaign, IL 61820 Phone: 217-244-4597 | |
Andrea R Klein, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Psychology, Champaign, IL 61822 Phone: 217-365-6206 Fax: 217-326-1234 | |
Holly N Mirell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 E. Windsor Road, Psychiatry/psychology, Champaign, IL 61802 Phone: 217-255-9700 Fax: 217-255-9650 | |
Dr. Michael A Campion, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2110 Clearlake Blvd Ste 202, Champaign, IL 61822 Phone: 217-356-9922 Fax: 217-356-9875 | |
Dr. Dynesha Dione Mason-grissom, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2500 Galen Dr Ste 104, Champaign, IL 61821 Phone: 217-693-6072 | |
Dr. John P Baker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855 |