| Hinsdale Psychological Resources, Ltd. | |
|
333 Chestnut St Ste 206 Hinsdale IL 60521-3247 | |
| (630) 850-9650 | |
| (630) 850-9607 |
| Full Name | Hinsdale Psychological Resources, Ltd. |
|---|---|
| Speciality | Counselor |
| Location | 333 Chestnut St, Hinsdale, Illinois |
| Authorized Official Name and Position | Patricia J. Andrise (OWNER) |
| Authorized Official Contact | 6308509650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hinsdale Psychological Resources, Ltd. 333 Chestnut St Ste 206 Hinsdale IL 60521-3247 Ph: (630) 850-9650 | Hinsdale Psychological Resources, Ltd. 333 Chestnut St Ste 206 Hinsdale IL 60521-3247 Ph: (630) 850-9650 |
| NPI Number | 1033190715 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 11/15/2007 |
| Medicare PECOS PAC ID | 5395832448 |
|---|---|
| Medicare Enrollment ID | O20071106000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033190715 | NPI | - | NPPES |
| 2205358 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
| 103G00000X | Clinical Neuropsychologist | (Illinois) | Secondary |
| Provider Name | Patricia J Andrise |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669455408 PECOS PAC ID: 3779670815 Enrollment ID: I20071106000414 |
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