| Meier Clinics Of Illinois, P.c. | |
|
2275 Half Day Rd Suite 350 Bannockburn IL 60015-1217 | |
| (630) 653-1717 | |
| (630) 653-1025 |
| Full Name | Meier Clinics Of Illinois, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2275 Half Day Rd, Bannockburn, Illinois |
| Authorized Official Name and Position | Heather Gandy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6306531717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meier Clinics Of Illinois, P.c. 2100 Manchester Rd Suite 1510 Wheaton IL 60187-4579 Ph: (630) 653-1717 | Meier Clinics Of Illinois, P.c. 2275 Half Day Rd Suite 350 Bannockburn IL 60015-1217 Ph: (630) 653-1717 |
| NPI Number | 1801842885 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 01/30/2008 |
| Medicare PECOS PAC ID | 5193612836 |
|---|---|
| Medicare Enrollment ID | O20040228000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801842885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Andrew Oscar Linder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578641130 PECOS PAC ID: 2062485576 Enrollment ID: I20040813000553 |
| Provider Name | Theresa Sakyiama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376586800 PECOS PAC ID: 3072595701 Enrollment ID: I20090925000353 |
| Provider Name | Gary A Casaccio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063593721 PECOS PAC ID: 7618163114 Enrollment ID: I20101123000703 |
| Provider Name | Bradley C Kahle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710065412 PECOS PAC ID: 4284871989 Enrollment ID: I20130517000275 |
| Provider Name | Jane B Jung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902229370 PECOS PAC ID: 9032341482 Enrollment ID: I20140417000463 |
| Provider Name | Sandra E Bandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255702684 PECOS PAC ID: 7719288794 Enrollment ID: I20151216001164 |
| Provider Name | Kelly J Marquie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346663713 PECOS PAC ID: 8325337231 Enrollment ID: I20160517000854 |
| Provider Name | Joseph Z Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497259527 PECOS PAC ID: 9537422720 Enrollment ID: I20180423001576 |
| Provider Name | Mateusz Dzikowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316391675 PECOS PAC ID: 2264765619 Enrollment ID: I20190618000326 |
| Provider Name | Sergio Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013436906 PECOS PAC ID: 5294140737 Enrollment ID: I20210216001842 |
| Provider Name | Luke Tseng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871103838 PECOS PAC ID: 7113325671 Enrollment ID: I20211013002622 |
| Provider Name | Hezekiah Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891402533 PECOS PAC ID: 2062867625 Enrollment ID: I20231017002357 |
| Provider Name | Altrovise M Martin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740972348 PECOS PAC ID: 3678929932 Enrollment ID: I20231024001303 |
| Provider Name | Ines I Chen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700594553 PECOS PAC ID: 6608212469 Enrollment ID: I20240314003487 |
| Provider Name | Karen M Watson-jarvis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558449686 PECOS PAC ID: 6608215603 Enrollment ID: I20240423001840 |
| Provider Name | Carol Davis Serpas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588745145 PECOS PAC ID: 6901278407 Enrollment ID: I20240423002976 |
| Provider Name | Curt Calas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811095912 PECOS PAC ID: 4587006242 Enrollment ID: I20240525000400 |
| Provider Name | Patrick Fallon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285355040 PECOS PAC ID: 0345782769 Enrollment ID: I20240612003264 |
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