| Jerry P Gore Center For Holistic Medicine Llc | |
|
240 Saunders Rd Riverwoods IL 60015-3835 | |
| (847) 236-1701 | |
| (847) 236-1705 |
| Full Name | Jerry P Gore Center For Holistic Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 240 Saunders Rd, Riverwoods, Illinois |
| Authorized Official Name and Position | Jerry P Gore (GENERAL MEDICINE AND PSYCHIATRY) |
| Authorized Official Contact | 8472361701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry P Gore Center For Holistic Medicine Llc 240 Saunders Rd Riverwoods IL 60015-3835 Ph: (847) 236-1701 | Jerry P Gore Center For Holistic Medicine Llc 240 Saunders Rd Riverwoods IL 60015-3835 Ph: (847) 236-1701 |
| NPI Number | 1376653725 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 05/16/2012 |
| Medicare PECOS PAC ID | 4587694047 |
|---|---|
| Medicare Enrollment ID | O20050816000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376653725 | NPI | - | NPPES |
| 0004932196 | Other | IL | BC/BS |
| 0004927712 | Other | IL | ALISA COURTNEY LCPC BC/BS |
| 0004927712 | Other | IL | CAROL GORE LCSW BC/BS |
| 038010402 | Medicaid | IL | |
| 00004927712 | Other | IL | DR. DAVIS BC/BS |
| Provider Name | Jerry P Gore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972695633 PECOS PAC ID: 0840220307 Enrollment ID: I20120518000055 |
| Provider Name | Mitchell A Katz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407929573 PECOS PAC ID: 5890932735 Enrollment ID: I20130513000325 |
| Provider Name | Carol H Gore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154413987 PECOS PAC ID: 2961781315 Enrollment ID: I20161108001412 |
Mentalizing Minds Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Saunders Rd Ste 200, Riverwoods, IL 60015 Phone: 651-315-3410 | |
Patzelt Psychology Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Saunders Rd Ste 200, Riverwoods, IL 60015 Phone: 651-315-3410 | |
Neurobehavioral Associates, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2033 Milwaukee Ave, Suite 334, Riverwoods, IL 60015 Phone: 303-520-0489 | |
Holly Katz Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2416 Spyglass Hill Ct, Riverwoods, IL 60015 Phone: 847-452-7554 |