| Mary Elizabeth Strain, Phd Llc | |
|
1590 S Milwaukee Ave Ste 309 Libertyville IL 60048-3786 | |
| (847) 920-7888 | |
| (251) 572-2052 |
| Full Name | Mary Elizabeth Strain, Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1590 S Milwaukee Ave Ste 309, Libertyville, Illinois |
| Authorized Official Name and Position | Mary Elizabeth Strain (OWNER) |
| Authorized Official Contact | 8479207888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Strain, Phd Llc 2855 Sweet Clover Way Wauconda IL 60084-5005 Ph: (847) 920-7888 | Mary Elizabeth Strain, Phd Llc 1590 S Milwaukee Ave Ste 309 Libertyville IL 60048-3786 Ph: (847) 920-7888 |
| NPI Number | 1841795275 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 11/12/2022 |
| Certification Date | 11/12/2022 |
| Medicare PECOS PAC ID | 2264781624 |
|---|---|
| Medicare Enrollment ID | O20180817000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841795275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007296 (Illinois) | Primary |
| Provider Name | Mary E Strain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558541227 PECOS PAC ID: 4587794987 Enrollment ID: I20100610001141 |
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