| John D Jochem, Psy.d., P.c. | |
|
1580 S Milwaukee Ave Ste 305 Libertyville IL 60048-3773 | |
| (847) 680-0755 | |
| (847) 573-1617 |
| Full Name | John D Jochem, Psy.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1580 S Milwaukee Ave, Libertyville, Illinois |
| Authorized Official Name and Position | John David Jochem (PSYCHOLOGIST/SOLE OFFICER) |
| Authorized Official Contact | 8476800755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Jochem, Psy.d., P.c. 1580 S Milwaukee Ave Ste 305 Libertyville IL 60048-3773 Ph: (847) 680-0755 | John D Jochem, Psy.d., P.c. 1580 S Milwaukee Ave Ste 305 Libertyville IL 60048-3773 Ph: (847) 680-0755 |
| NPI Number | 1932116035 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 05/21/2025 |
| Medicare PECOS PAC ID | 3173526092 |
|---|---|
| Medicare Enrollment ID | O20060815000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932116035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071004067 (Illinois) | Primary |
| Provider Name | John D Jochem |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376575027 PECOS PAC ID: 6901809821 Enrollment ID: I20060815000375 |
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