| James M. Dod, Ph.d. Ltd | |
|
1200 Shermer Rd Suite 208 Northbrook IL 60062-4500 | |
| (847) 480-1341 | |
| (847) 480-1348 |
| Full Name | James M. Dod, Ph.d. Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 1200 Shermer Rd, Northbrook, Illinois |
| Authorized Official Name and Position | James M. Dod (PRESIDENT) |
| Authorized Official Contact | 8474801341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James M. Dod, Ph.d. Ltd 1200 Shermer Rd Suite 208 Northbrook IL 60062-4500 Ph: (847) 480-1341 | James M. Dod, Ph.d. Ltd 1200 Shermer Rd Suite 208 Northbrook IL 60062-4500 Ph: (847) 480-1341 |
| NPI Number | 1225210974 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 12/04/2007 |
| Medicare PECOS PAC ID | 2567433113 |
|---|---|
| Medicare Enrollment ID | O20040805000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225210974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | James M Dod |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053465500 PECOS PAC ID: 2668443227 Enrollment ID: I20040806000222 |
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