| Piece By Piece: Neurobehavioral Services | |
|
2021 Midwest Rd Ste 104 Oak Brook IL 60523-1396 | |
| (630) 479-8648 | |
| Not Available |
| Full Name | Piece By Piece: Neurobehavioral Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2021 Midwest Rd Ste 104, Oak Brook, Illinois |
| Authorized Official Name and Position | Anthony Tucci (SUPERVISING CLINICIAN) |
| Authorized Official Contact | 6302808173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piece By Piece: Neurobehavioral Services 605 E Van Buren St Villa Park IL 60181-3321 Ph: (630) 479-8648 | Piece By Piece: Neurobehavioral Services 2021 Midwest Rd Ste 104 Oak Brook IL 60523-1396 Ph: (630) 479-8648 |
| NPI Number | 1285282889 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Medicare PECOS PAC ID | 8628408671 |
|---|---|
| Medicare Enrollment ID | O20200415002668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285282889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Anthony Michael Tucci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073947057 PECOS PAC ID: 2062710494 Enrollment ID: I20160418001776 |
| Provider Name | Amina Homeidan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386103570 PECOS PAC ID: 4284975046 Enrollment ID: I20190405000077 |
| Provider Name | Stefan Elliot Latulip |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760101125 PECOS PAC ID: 2860862026 Enrollment ID: I20230104000679 |
| Provider Name | Erica A Hymen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962951467 PECOS PAC ID: 6901251362 Enrollment ID: I20231005000865 |
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