Michelle Chaban, P.c. | |
707 Lake Cook Rd Ste 105 Deerfield IL 60015-4909 | |
(866) 220-8371 | |
Not Available |
Full Name | Michelle Chaban, P.c. |
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Speciality | Psychologist |
Location | 707 Lake Cook Rd Ste 105, Deerfield, Illinois |
Authorized Official Name and Position | Michelle Chaban (PRESIDENT) |
Authorized Official Contact | 8662208371 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michelle Chaban, P.c. 1640 Marcie Ct Deerfield IL 60015-3974 Ph: (847) 405-0520 | Michelle Chaban, P.c. 707 Lake Cook Rd Ste 105 Deerfield IL 60015-4909 Ph: (866) 220-8371 |
NPI Number | 1437105061 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 04/02/2025 |
Certification Date | 04/02/2025 |
Medicare PECOS PAC ID | 9638072721 |
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Medicare Enrollment ID | O20040128000013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437105061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 060008302 (Illinois) | Primary |
Provider Name | Jan H Roy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265699300 PECOS PAC ID: 1850531179 Enrollment ID: I20190328002862 |
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