| Leyden Dupage Counseling Service | |
|
1010 Jorie Blvd Suite 12 Oak Brook IL 60523-2215 | |
| (630) 368-9100 | |
| (630) 990-0506 |
| Full Name | Leyden Dupage Counseling Service |
|---|---|
| Speciality | Social Worker |
| Location | 1010 Jorie Blvd, Oak Brook, Illinois |
| Authorized Official Name and Position | Richard D Cunningham (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6303689100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leyden Dupage Counseling Service 1010 Jorie Blvd Suite 12 Oak Brook IL 60523-2215 Ph: (630) 368-9100 | Leyden Dupage Counseling Service 1010 Jorie Blvd Suite 12 Oak Brook IL 60523-2215 Ph: (630) 368-9100 |
| NPI Number | 1821211921 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 05/06/2013 |
| Medicare PECOS PAC ID | 0648417998 |
|---|---|
| Medicare Enrollment ID | O20130506000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821211921 | NPI | - | NPPES |
| 01618323 | Other | IL | BCBS PROVIDER |
| Provider Name | Richard D Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487878591 PECOS PAC ID: 4981502242 Enrollment ID: I20031223000379 |
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