| Michelle C. Delehant, Ph.d., Inc. | |
|
9990 W 190th St Ste A Mokena IL 60448-8189 | |
| (815) 469-6730 | |
| Not Available |
| Full Name | Michelle C. Delehant, Ph.d., Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 9990 W 190th St Ste A, Mokena, Illinois |
| Authorized Official Name and Position | Michelle Clare Delehant (PRESIDENT) |
| Authorized Official Contact | 8154696730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle C. Delehant, Ph.d., Inc. 9990 W 190th St Ste A Mokena IL 60448-8189 Ph: (815) 469-6730 | Michelle C. Delehant, Ph.d., Inc. 9990 W 190th St Ste A Mokena IL 60448-8189 Ph: (815) 469-6730 |
| NPI Number | 1235378126 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Medicare PECOS PAC ID | 6204984222 |
|---|---|
| Medicare Enrollment ID | O20090501000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235378126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071005378 (Illinois) | Primary |
| Provider Name | Michelle C Delehant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528043379 PECOS PAC ID: 9032267059 Enrollment ID: I20110118001162 |
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