| Elizabeth M. Bolash, Psy.d., Pc | |
|
115 S Wilke Rd Suite 300 Arlington Heights IL 60005-1532 | |
| (847) 259-2020 | |
| (847) 259-2078 |
| Full Name | Elizabeth M. Bolash, Psy.d., Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 S Wilke Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Elizabeth M Bolash (PSYCHOLOGIST) |
| Authorized Official Contact | 8472592020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth M. Bolash, Psy.d., Pc 115 S Wilke Rd Suite 300 Arlington Heights IL 60005-1532 Ph: (847) 259-2020 | Elizabeth M. Bolash, Psy.d., Pc 115 S Wilke Rd Suite 300 Arlington Heights IL 60005-1532 Ph: (847) 259-2020 |
| NPI Number | 1437104403 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335152008 |
|---|---|
| Medicare Enrollment ID | O20060725000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437104403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Illinois) | Primary |
| Provider Name | Elizabeth M Bolash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841239043 PECOS PAC ID: 4880607555 Enrollment ID: I20060725000056 |
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