| Spectrum Psychological Services Inc. | |
|
7717 Stevens St Darien IL 60561 | |
| (630) 710-2002 | |
| Not Available |
| Full Name | Spectrum Psychological Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 7717 Stevens St, Darien, Illinois |
| Authorized Official Name and Position | Erica Irene Essary (PRESIDENT) |
| Authorized Official Contact | 6303109957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Psychological Services Inc. 7717 Stevens St Darien IL 60561-4427 Ph: (630) 710-2002 | Spectrum Psychological Services Inc. 7717 Stevens St Darien IL 60561 Ph: (630) 710-2002 |
| NPI Number | 1568980241 |
|---|---|
| Provider Enumeration Date | 09/01/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4385909415 |
|---|---|
| Medicare Enrollment ID | O20180521000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568980241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071009197 (Illinois) | Primary |
| Provider Name | Erica Irene Essary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295192094 PECOS PAC ID: 5294090320 Enrollment ID: I20180521001077 |
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