| Priebe Psychological & Wellness | |
|
101 N Marion St Ste 201 Oak Park IL 60301-1023 | |
| (708) 232-0925 | |
| Not Available |
| Full Name | Priebe Psychological & Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 101 N Marion St Ste 201, Oak Park, Illinois |
| Authorized Official Name and Position | Suzanne Priebe (OWNER) |
| Authorized Official Contact | 7082320925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priebe Psychological & Wellness 7968 Iowa St River Forest IL 60305-1346 Ph: (847) 406-6359 | Priebe Psychological & Wellness 101 N Marion St Ste 201 Oak Park IL 60301-1023 Ph: (708) 232-0925 |
| NPI Number | 1497397228 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Medicare PECOS PAC ID | 1456784941 |
|---|---|
| Medicare Enrollment ID | O20191216000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497397228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Suzanne J Priebe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346374261 PECOS PAC ID: 1951383504 Enrollment ID: I20191216001725 |
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