| Integrative Psychological Solutions, Llc | |
|
800 S Milwaukee Ave Ste 180 Libertyville IL 60048-3200 | |
| (312) 804-4360 | |
| Not Available |
| Full Name | Integrative Psychological Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 800 S Milwaukee Ave Ste 180, Libertyville, Illinois |
| Authorized Official Name and Position | Karina Bortnik (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3128044360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological Solutions, Llc 4301 Exeter Ln Northbrook IL 60062-1139 Ph: (312) 804-4360 | Integrative Psychological Solutions, Llc 800 S Milwaukee Ave Ste 180 Libertyville IL 60048-3200 Ph: (312) 804-4360 |
| NPI Number | 1235521303 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 06/22/2015 |
| Medicare PECOS PAC ID | 8224349287 |
|---|---|
| Medicare Enrollment ID | O20150617000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235521303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071006751 (Illinois) | Primary |
| Provider Name | Karina Bortnik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548388036 PECOS PAC ID: 2163454034 Enrollment ID: I20050831000780 |
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