| Sheila Culkin, Inc | |
|
636 Church St Suite 405 Evanston IL 60201-4508 | |
| (847) 328-3120 | |
| Not Available |
| Full Name | Sheila Culkin, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 636 Church St, Evanston, Illinois |
| Authorized Official Name and Position | Sheila Mary Culkin (OWNER) |
| Authorized Official Contact | 8473283120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheila Culkin, Inc 1912 Lincoln St Evanston IL 60201-2206 Ph: (847) 328-3120 | Sheila Culkin, Inc 636 Church St Suite 405 Evanston IL 60201-4508 Ph: (847) 328-3120 |
| NPI Number | 1154620052 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Medicare PECOS PAC ID | 6406030907 |
|---|---|
| Medicare Enrollment ID | O20110407000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154620052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071004669 (Illinois) | Primary |
| Provider Name | Sheila M Culkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013040856 PECOS PAC ID: 1557545068 Enrollment ID: I20110407000440 |
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