| Lifespan Behavioral Health Services,llc | |
|
21316 Brown Dr Frankfort IL 60423-9454 | |
| (815) 773-9503 | |
| (815) 469-4276 |
| Full Name | Lifespan Behavioral Health Services,llc |
|---|---|
| Speciality | Psychologist |
| Location | 21316 Brown Dr, Frankfort, Illinois |
| Authorized Official Name and Position | John Steven Scheffler (OWNER) |
| Authorized Official Contact | 8157739503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Behavioral Health Services,llc 21316 Brown Dr Frankfort IL 60423-9454 Ph: (815) 773-9503 | Lifespan Behavioral Health Services,llc 21316 Brown Dr Frankfort IL 60423-9454 Ph: (815) 773-9503 |
| NPI Number | 1720263999 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 02/15/2008 |
| Medicare PECOS PAC ID | 9830270966 |
|---|---|
| Medicare Enrollment ID | O20080115000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720263999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | John S Scheffler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144376641 PECOS PAC ID: 0840371977 Enrollment ID: I20080115000572 |
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