| Donna R. Amstutz, P.c. | |
|
610 W Roosevelt Rd Suite D-2 Wheaton IL 60187-5087 | |
| (630) 510-0669 | |
| (630) 510-0669 |
| Full Name | Donna R. Amstutz, P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 610 W Roosevelt Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Donna Ruth Amstutz (PRESIDENT) |
| Authorized Official Contact | 6305100669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna R. Amstutz, P.c. 610 W Roosevelt Rd Suite D-2 Wheaton IL 60187-5087 Ph: (630) 510-0669 | Donna R. Amstutz, P.c. 610 W Roosevelt Rd Suite D-2 Wheaton IL 60187-5087 Ph: (630) 510-0669 |
| NPI Number | 1174718605 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Medicare PECOS PAC ID | 1557409315 |
|---|---|
| Medicare Enrollment ID | O20091116000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174718605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
| Provider Name | Donna R Amstutz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124187588 PECOS PAC ID: 7911045778 Enrollment ID: I20091116000297 |
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