Dr Tiffany Abrego, PHD | |
900 Main St Ste 720, Peoria, IL 61602-5027 | |
(309) 495-1640 | |
Not Available |
Full Name | Dr Tiffany Abrego |
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Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 900 Main St Ste 720, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114320413 | NPI | - | NPPES |
071.009388 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 071.009388 (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: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
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Dr Tiffany Abrego, PHD 79 W Alexandrine St, Detroit, MI 48201-2015 Ph: (313) 831-5355 | Dr Tiffany Abrego, PHD 900 Main St Ste 720, Peoria, IL 61602-5027 Ph: (309) 495-1640 |
Brycie Weiden, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 515 Ne Glen Oak Ave Ste 101, Peoria, IL 61603 Phone: 309-655-7378 | |
Dr. Jennifer Rebecca Shibley, PSY.D., M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 780, Peoria, IL 61602 Phone: 309-672-5946 Fax: 309-672-3155 | |
Patresa R Brager, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 515 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6724 Fax: 309-655-4408 | |
Dr. Jie Jiao, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd Ste 202, Peoria, IL 61614 Phone: 888-428-7890 Fax: 877-428-7890 | |
Anthony Perino, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7317 N Willow Lake Ct, Peoria, IL 61614 Phone: 309-683-7373 Fax: 309-691-4408 | |
Jean L Clore, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, 7 West, Peoria, IL 61636 Phone: 309-671-8222 |