| Nancy Landre Phd, P.c. | |
|
2604 Dempster St Suite 510 Park Ridge IL 60068-8412 | |
| (847) 291-2758 | |
| (815) 455-4322 |
| Full Name | Nancy Landre Phd, P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2604 Dempster St, Park Ridge, Illinois |
| Authorized Official Name and Position | Nancy Landre (OWNER) |
| Authorized Official Contact | 8472192758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Landre Phd, P.c. 2604 Dempster St Suite 510 Park Ridge IL 60068-8412 Ph: (847) 291-2758 | Nancy Landre Phd, P.c. 2604 Dempster St Suite 510 Park Ridge IL 60068-8412 Ph: (847) 291-2758 |
| NPI Number | 1124355664 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 11/04/2009 |
| Medicare PECOS PAC ID | 8123161551 |
|---|---|
| Medicare Enrollment ID | O20100206000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124355664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071004694 (Illinois) | Primary |
| Provider Name | Theresa K Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578506168 PECOS PAC ID: 4981593431 Enrollment ID: I20040312000460 |
| Provider Name | Nancy A Landre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366593493 PECOS PAC ID: 2567528789 Enrollment ID: I20090312000522 |
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