| Heritage Professional Associates Ltd | |
|
120 E Ogden Ave 220 Hinsdale IL 60521 | |
| (630) 325-5300 | |
| (630) 325-5309 |
| Full Name | Heritage Professional Associates Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 120 E Ogden Ave 220, Hinsdale, Illinois |
| Authorized Official Name and Position | Keith A Baird (LICENSED CLINICAL PSYCHOLOGIST PRES) |
| Authorized Official Contact | 6303255300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Professional Associates Ltd 120 E Ogden Ave 220 Hinsdale IL 60521 Ph: (630) 325-5300 | Heritage Professional Associates Ltd 120 E Ogden Ave 220 Hinsdale IL 60521 Ph: (630) 325-5300 |
| NPI Number | 1033244173 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/07/2013 |
| Medicare PECOS PAC ID | 6002707262 |
|---|---|
| Medicare Enrollment ID | O20040324001488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033244173 | NPI | - | NPPES |
| 02215636 | Other | IL | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 060005612 (Illinois) | Primary |
| Provider Name | Teresa S Fuhrman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255492930 PECOS PAC ID: 2264323443 Enrollment ID: I20040324001625 |
| Provider Name | Michael K Dorren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659416634 PECOS PAC ID: 0648234500 Enrollment ID: I20041119000232 |
| Provider Name | Thomas Schemper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972615359 PECOS PAC ID: 8426949603 Enrollment ID: I20050114000088 |
| Provider Name | Kim Lodewyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750324992 PECOS PAC ID: 5698666873 Enrollment ID: I20050114000127 |
| Provider Name | Carolyn M Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528182771 PECOS PAC ID: 3072567908 Enrollment ID: I20050303000616 |
| Provider Name | Linda L Lake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679637672 PECOS PAC ID: 0648299271 Enrollment ID: I20051114000405 |
| Provider Name | Susan S Cornelius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801966700 PECOS PAC ID: 9931206513 Enrollment ID: I20070515000637 |
| Provider Name | Christopher R Mazzarella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265567879 PECOS PAC ID: 8123183308 Enrollment ID: I20090223000508 |
| Provider Name | Abby J Hurley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992933543 PECOS PAC ID: 7214250521 Enrollment ID: I20141217001997 |
| Provider Name | Robert D Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306124177 PECOS PAC ID: 8426374059 Enrollment ID: I20150226000299 |
| Provider Name | John M Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174884514 PECOS PAC ID: 6709161854 Enrollment ID: I20170810000175 |
| Provider Name | Pamela Bult |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760742407 PECOS PAC ID: 2860764909 Enrollment ID: I20170823004275 |
| Provider Name | Sarah Deviney Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346641420 PECOS PAC ID: 6002164506 Enrollment ID: I20180731001407 |
| Provider Name | Amy Cathleen Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770747982 PECOS PAC ID: 9537418587 Enrollment ID: I20180823002850 |
| Provider Name | Nancy Karen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295963262 PECOS PAC ID: 3870975378 Enrollment ID: I20220801000085 |
| Provider Name | Diane A Doll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033681119 PECOS PAC ID: 8022489764 Enrollment ID: I20230117002217 |
| Provider Name | Michal Kocum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831825942 PECOS PAC ID: 6608228333 Enrollment ID: I20240118002370 |
Alexandra Petrohilos Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 N Grant St, Suite Lc, Hinsdale, IL 60521 Phone: 630-286-2785 | |
Hinsdale Psychological Resources, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 333 Chestnut St, Ste 206, Hinsdale, IL 60521 Phone: 630-850-9650 Fax: 630-850-9607 | |
Medical Neurology Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 908 N Elm St, 202, Hinsdale, IL 60521 Phone: 630-856-8640 Fax: 630-325-8746 | |
Melon-grace Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 911 N Elm St, Suite 316, Hinsdale, IL 60521 Phone: 630-920-9113 | |
Ces Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 South Grant Street, Hinsdale, IL 60521 Phone: 630-654-2596 Fax: 630-654-2596 | |
Mindful Psychiatric Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Ogden Ave Ste 101, Hinsdale, IL 60521 Phone: 630-366-7330 |