| Crosswinds Center For Personal And Professional Development, Pllc | |
|
3125 N Wilke Rd Ste A Arlington Heights IL 60004-1452 | |
| (833) 710-7770 | |
| (224) 345-2118 |
| Full Name | Crosswinds Center For Personal And Professional Development, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3125 N Wilke Rd Ste A, Arlington Heights, Illinois |
| Authorized Official Name and Position | Mitchell Wayne Hicks (PRINCIPAL, LICENSED CLINICAL PSYCH) |
| Authorized Official Contact | 6308498275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosswinds Center For Personal And Professional Development, Pllc 3125 N Wilke Rd Ste A Arlington Heights IL 60004-1452 Ph: (833) 710-7770 | Crosswinds Center For Personal And Professional Development, Pllc 3125 N Wilke Rd Ste A Arlington Heights IL 60004-1452 Ph: (833) 710-7770 |
| NPI Number | 1811412166 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Medicare PECOS PAC ID | 2365790516 |
|---|---|
| Medicare Enrollment ID | O20180803000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811412166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marc I Oster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114069093 PECOS PAC ID: 2769549633 Enrollment ID: I20090319000499 |
| Provider Name | Mitchell W Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093790776 PECOS PAC ID: 5991896540 Enrollment ID: I20100215000511 |
| Provider Name | Vilija Ball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164933479 PECOS PAC ID: 8729345319 Enrollment ID: I20171207000867 |
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