Dr Roberto G Lopez-tamayo, PHD | |
1747 W Roosevelt Rd Fl 2, Chicago, IL 60608-1264 | |
(312) 355-0336 | |
Not Available |
Full Name | Dr Roberto G Lopez-tamayo |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1747 W Roosevelt Rd Fl 2, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578186219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 071.010284 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071.010284 (Illinois) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822147 PECOS PAC ID: 3072422716 Enrollment ID: O20040128001061 |
Mailing Address | Practice Location Address |
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Dr Roberto G Lopez-tamayo, PHD 3035 N Honore St, Chicago, IL 60657-2007 Ph: (847) 714-6314 | Dr Roberto G Lopez-tamayo, PHD 1747 W Roosevelt Rd Fl 2, Chicago, IL 60608-1264 Ph: (312) 355-0336 |
Dr. Pamela Daley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 N Michigan Ave, Suite 1510, Chicago, IL 60602 Phone: 773-615-9477 | |
Dr. Marilyn Sue Johnson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Chicago, IL 60611 Phone: 312-337-0374 Fax: 630-762-9978 | |
Dr. Aisha Kazi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Suite 407, Chicago, IL 60611 Phone: 305-804-5842 | |
Dr. Amber D Bauer-gambla, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 East Washington Street, Suite 1601, Chicago, IL 60602 Phone: 312-720-8008 | |
Dr. Rachel Catherine Tercek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1653 W. Congress Parkway, Chicago, IL 60612 Phone: 847-933-9339 | |
Ms. Michelle T Frank, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1448 N Milwaukee Ave, Suite 201, Chicago, IL 60622 Phone: 773-486-4617 Fax: 773-486-4936 | |
Dr. Rae Watkins, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1519 W Irving Park Rd Ste 1, Chicago, IL 60613 Phone: 773-600-7580 |