| The Center For Divorce Recovery | |
|
633 Skokie Blvd 260 Northbrook IL 60062-2858 | |
| (847) 480-0300 | |
| (847) 291-0576 |
| Full Name | The Center For Divorce Recovery |
|---|---|
| Speciality | Psychologist |
| Location | 633 Skokie Blvd, Northbrook, Illinois |
| Authorized Official Name and Position | Morton C Mirman (PARTNER) |
| Authorized Official Contact | 8474800300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Divorce Recovery 910 Skokie Blvd 215 Northbrook IL 60062-4013 Ph: (847) 480-0300 | The Center For Divorce Recovery 633 Skokie Blvd 260 Northbrook IL 60062-2858 Ph: (847) 480-0300 |
| NPI Number | 1003868472 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 04/27/2011 |
| Medicare PECOS PAC ID | 1254478514 |
|---|---|
| Medicare Enrollment ID | O20091020000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003868472 | NPI | - | NPPES |
| 1620796 | Other | IL | BCBS OF IL |
| Provider Name | Stanley S Selinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063490795 PECOS PAC ID: 1052363694 Enrollment ID: I20050211000497 |
| Provider Name | Morton C Mirman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891733853 PECOS PAC ID: 0345323895 Enrollment ID: I20080207000336 |
| Provider Name | John M Gobby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215978341 PECOS PAC ID: 8820135320 Enrollment ID: I20091102000042 |
| Provider Name | Lisa P Blumberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306177951 PECOS PAC ID: 5991961773 Enrollment ID: I20120723000830 |
| Provider Name | Darin Argentar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851727705 PECOS PAC ID: 6305145293 Enrollment ID: I20160427001504 |
| Provider Name | Aviva Cahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003108903 PECOS PAC ID: 5193056943 Enrollment ID: I20191009003246 |
| Provider Name | Marjorie Harris Newman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891338588 PECOS PAC ID: 2264869007 Enrollment ID: I20200217004368 |
| Provider Name | Michelle Patricia Sierzega |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760015424 PECOS PAC ID: 5294156410 Enrollment ID: I20200526001872 |
| Provider Name | Katherine Barron Coutrakon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972657419 PECOS PAC ID: 6103965975 Enrollment ID: I20200610000696 |
| Provider Name | Margaux Sayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922441559 PECOS PAC ID: 4688061393 Enrollment ID: I20220427003159 |
| Provider Name | Jenessa Hadzic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245888718 PECOS PAC ID: 5496124075 Enrollment ID: I20221205001360 |
| Provider Name | Leah Seligman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801283247 PECOS PAC ID: 1456795566 Enrollment ID: I20240216001844 |
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