| Dr Daniel James Kozubal, PSYD | |
|
412 North Lake St, Ste 203, Aurora, IL 60506 | |
| (630) 244-7000 | |
| (847) 961-5730 |
| Full Name | Dr Daniel James Kozubal |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 412 North Lake St, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215037502 | NPI | - | NPPES |
| 0004572024 | Other | IL | BLUE CROSS BLUE SHIELD |
| 054497000 | Other | MAGELLAN BEH HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003041 (Illinois) | Primary |
| Entity Name | Deer Oaks Mid West Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel James Kozubal, PSYD 412 North Lake St, Ste 203, Aurora, IL 60506 Ph: (630) 244-7000 | Dr Daniel James Kozubal, PSYD 412 North Lake St, Ste 203, Aurora, IL 60506 Ph: (630) 244-7000 |
Anita Kozak, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 S River St, Aurora, IL 60506 Phone: 630-844-2662 | |
Marloes Verhoeven, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Ogden Ave Ste 106, Aurora, IL 60504 Phone: 630-256-8007 Fax: 630-256-8009 | |
Myrna Salcido, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 309 W New Indian Trl, Aurora, IL 60506 Phone: 630-966-4452 | |
Corrin L Scavo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4205 Westbrook Dr, Aurora, IL 60504 Phone: 815-942-6323 Fax: 630-527-1244 | |
Mrs. Tabatha Elaine Greene, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4100 Healthway Dr, Aurora, IL 60504 Phone: 630-851-3105 | |
Dr. Cynthia Guadalupe Penne, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2794 Rosehall Ln, Aurora, IL 60503 Phone: 630-870-5657 | |
Dr. Rebecca J. Mortland, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4100 Healthway Dr, Aurora, IL 60504 Phone: 630-851-3105 Fax: 630-978-6618 |