| Evergreen Reflections PLLC | |
|
4055 S Il-59 108 Naperville IL 60564 | |
| (630) 296-7288 | |
| Not Available |
| Full Name | Evergreen Reflections PLLC |
|---|---|
| Speciality | Psychologist |
| Location | 4055 S Il-59, Naperville, Illinois |
| Authorized Official Name and Position | Krystel a Segovia (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3312130175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Reflections PLLC 5 Picnic Ct Bolingbrook IL 60490-6542 Ph: (331) 213-1075 | Evergreen Reflections PLLC 4055 S Il-59 108 Naperville IL 60564 Ph: (630) 296-7288 |
| NPI Number | 1740099605 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Medicare PECOS PAC ID | 9830696657 |
|---|---|
| Medicare Enrollment ID | O20251008001755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740099605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
| Provider Name | Krystel Segovia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154034650 PECOS PAC ID: 4981076536 Enrollment ID: I20230208002744 |
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