| Melon-grace Psychological Services | |
|
911 N Elm St Suite 316 Hinsdale IL 60521-3634 | |
| (630) 920-9113 | |
| Not Available |
| Full Name | Melon-grace Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 911 N Elm St, Hinsdale, Illinois |
| Authorized Official Name and Position | William Melon (PRESIDENT) |
| Authorized Official Contact | 6309209113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melon-grace Psychological Services 911 N Elm St Suite 316 Hinsdale IL 60521-3634 Ph: (630) 920-9113 | Melon-grace Psychological Services 911 N Elm St Suite 316 Hinsdale IL 60521-3634 Ph: (630) 920-9113 |
| NPI Number | 1053448662 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 09/18/2008 |
| Medicare PECOS PAC ID | 8325107444 |
|---|---|
| Medicare Enrollment ID | O20081104000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053448662 | NPI | - | NPPES |
| 0001605025 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 060007829 (Illinois) | Primary |
| Provider Name | William H Melon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265569883 PECOS PAC ID: 3870652902 Enrollment ID: I20081104000787 |
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