| Barry M Leavitt And Associates | |
|
790 Frontage Rd Northfield IL 60093-1204 | |
| (847) 441-4111 | |
| Not Available |
| Full Name | Barry M Leavitt And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 790 Frontage Rd, Northfield, Illinois |
| Authorized Official Name and Position | Barry M Leavitt (PRESIDENT) |
| Authorized Official Contact | 8474414111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry M Leavitt And Associates 790 Frontage Rd Northfield IL 60093-1204 Ph: (847) 441-4111 | Barry M Leavitt And Associates 790 Frontage Rd Northfield IL 60093-1204 Ph: (847) 441-4111 |
| NPI Number | 1073840484 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/09/2009 |
| Medicare PECOS PAC ID | 0042359283 |
|---|---|
| Medicare Enrollment ID | O20091202000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073840484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003655 (Illinois) | Primary |
| Provider Name | Barry M Leavitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588667315 PECOS PAC ID: 5395823611 Enrollment ID: I20080425000627 |
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