| Leading Change Pc | |
| 
					7250 College Drive Suite 1w Palos Heights IL 60463  | |
| (630) 247-5597 | |
| (630) 734-0359 | 
| Full Name | Leading Change Pc | 
|---|---|
| Speciality | Psychologist - Clinical | 
| Location | 7250 College Drive, Palos Heights, Illinois | 
| Authorized Official Name and Position | Nancy L Nelson (LICENSED CLINICAL PSYCHOLOGIST) | 
| Authorized Official Contact | 6302475597 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Leading Change Pc 645 Justina St Hinsdale IL 60521 Ph: (630) 247-5597  | Leading Change Pc 7250 College Drive Suite 1w Palos Heights IL 60463 Ph: (630) 247-5597  | 
| NPI Number | 1902964695 | 
|---|---|
| Provider Enumeration Date | 12/05/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902964695 | NPI | - | NPPES | 
| 1635024 | Other | IL | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary | 
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