| Pro Psych Associates Sc | |
|
2604 Dempster St Suite 307 Park Ridge IL 60068-8412 | |
| (847) 544-5102 | |
| (847) 544-5103 |
| Full Name | Pro Psych Associates Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2604 Dempster St, Park Ridge, Illinois |
| Authorized Official Name and Position | Ok Ro Hong (PRESIDENT) |
| Authorized Official Contact | 8475445102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Psych Associates Sc 2604 Dempster St Suite 307 Park Ridge IL 60068-8412 Ph: (847) 544-5102 | Pro Psych Associates Sc 2604 Dempster St Suite 307 Park Ridge IL 60068-8412 Ph: (847) 544-5102 |
| NPI Number | 1033267661 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 07/09/2012 |
| Medicare PECOS PAC ID | 0547232456 |
|---|---|
| Medicare Enrollment ID | O20040811000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033267661 | NPI | - | NPPES |
| 01632426 | Other | IL | BLUE CROSS |
| Provider Name | Ok Ro Hong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497711873 PECOS PAC ID: 0345212262 Enrollment ID: I20081020000105 |
| Provider Name | Angela Michelini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255573127 PECOS PAC ID: 9830245430 Enrollment ID: I20090923000619 |
| Provider Name | Michael J Carbone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598065898 PECOS PAC ID: 4385812742 Enrollment ID: I20110729000555 |
| Provider Name | Sharon M Bux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346442654 PECOS PAC ID: 5890967111 Enrollment ID: I20111011000295 |
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