| Jennifer Paley Edidin, PHD | |
|
790 W Frontage Rd, Suite 209, Northfield, IL 60093-1204 | |
| (847) 441-4433 | |
| (847) 441-4430 |
| Full Name | Jennifer Paley Edidin |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 790 W Frontage Rd, Northfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790181253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 071-008227 (Illinois) | Primary |
| Entity Name | Rush University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Paley Edidin, PHD 790 W Frontage Rd, Suite 209, Northfield, IL 60093-1204 Ph: (847) 441-4433 | Jennifer Paley Edidin, PHD 790 W Frontage Rd, Suite 209, Northfield, IL 60093-1204 Ph: (847) 441-4433 |
Mr. Michael Jason Gladstein, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1780 Maple St Ste 1, Northfield, IL 60093 Phone: 847-644-8005 | |
Dr. Anne Hatcher Berenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 540 W Frontage Rd, Suite 2135, Northfield, IL 60093 Phone: 847-784-9005 | |
Victoria V Lavigne, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 778 W Frontage Rd, Suite 123, Northfield, IL 60093 Phone: 847-446-7184 Fax: 847-446-7185 | |
Dr. Joseph W. Byrne, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 456 W Frontage Rd Ste 232, Northfield, IL 60093 Phone: 847-644-1210 | |
Dr. Elizabeth Kathryn Hossfeld, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 191 Waukegan Rd Ste 208, Northfield, IL 60093 Phone: 847-329-9210 Fax: 773-347-2656 | |
Dr. Elizabeth F. Feldman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 778 W Frontage Rd, Suite 115, Northfield, IL 60093 Phone: 847-501-3620 | |
Dr. Shawn Daugherty, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 456 Central Avenue, 201, Northfield, IL 60093 Phone: 773-852-9869 |