Dr Myra Dorene West, PSYD | |
200 Lakewood Blvd, Park Forest, IL 60466-1718 | |
(708) 481-9799 | |
(708) 481-9951 |
Full Name | Dr Myra Dorene West |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 200 Lakewood Blvd, Park Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225224827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 071007264 (Illinois) | Primary |
Entity Name | Marshfield Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
---|---|
Dr Myra Dorene West, PSYD 200 Lakewood Blvd, Park Forest, IL 60466-1718 Ph: (708) 481-9799 | Dr Myra Dorene West, PSYD 200 Lakewood Blvd, Park Forest, IL 60466-1718 Ph: (708) 481-9799 |
Dr. Robin Wright Whitfield, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 230 Main St, Park Forest, IL 60466 Phone: 404-290-2731 | |
Nicole R Hrapek, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 430 Talala St, Park Forest, IL 60466 Phone: 708-367-2593 |