| The Center For Relationship Health Margo M Jacquot Psyd Csadc | |
|
1440 Renaissance Drive Suite 320 Park Ridge IL 60068-1471 | |
| (847) 759-9110 | |
| (847) 759-9440 |
| Full Name | The Center For Relationship Health Margo M Jacquot Psyd Csadc |
|---|---|
| Speciality | Psychologist |
| Location | 1440 Renaissance Drive, Park Ridge, Illinois |
| Authorized Official Name and Position | Margo M. Jacquot (PRESIDENT) |
| Authorized Official Contact | 8477599110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Relationship Health Margo M Jacquot Psyd Csadc 1440 Renaissance Drive Suite 320 Park Ridge IL 60068-1471 Ph: (847) 759-9110 | The Center For Relationship Health Margo M Jacquot Psyd Csadc 1440 Renaissance Drive Suite 320 Park Ridge IL 60068-1471 Ph: (847) 759-9110 |
| NPI Number | 1902906324 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 03/30/2021 |
| Certification Date | 03/30/2021 |
| Medicare PECOS PAC ID | 1557557725 |
|---|---|
| Medicare Enrollment ID | O20101130000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902906324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen Thames |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376613356 PECOS PAC ID: 9234220674 Enrollment ID: I20070814000458 |
| Provider Name | Katarzyna Wilamska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053588269 PECOS PAC ID: 5799821468 Enrollment ID: I20091009000459 |
| Provider Name | Margo M Jacquot |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487873345 PECOS PAC ID: 3173719341 Enrollment ID: I20101130000810 |
| Provider Name | Diane C Powers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942389374 PECOS PAC ID: 4688860869 Enrollment ID: I20101130000848 |
| Provider Name | Susan L Kottra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477837235 PECOS PAC ID: 8921233578 Enrollment ID: I20131106001746 |
| Provider Name | Carol S Goldbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942419718 PECOS PAC ID: 8820228133 Enrollment ID: I20140306002024 |
| Provider Name | Veronique E Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437406592 PECOS PAC ID: 9032332622 Enrollment ID: I20140529001355 |
| Provider Name | Lauren L Zerbst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225328065 PECOS PAC ID: 6002137098 Enrollment ID: I20150602002458 |
| Provider Name | Ann B Tharayil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881810687 PECOS PAC ID: 3577874577 Enrollment ID: I20150617001625 |
| Provider Name | Margaret A Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144610486 PECOS PAC ID: 2163736349 Enrollment ID: I20150731015962 |
| Provider Name | Mirel Castle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740455021 PECOS PAC ID: 2860790193 Enrollment ID: I20160419002612 |
| Provider Name | Ann M Kawalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205295946 PECOS PAC ID: 1951694769 Enrollment ID: I20160801000562 |
| Provider Name | Megan Lynn Wicklund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174068738 PECOS PAC ID: 1557643079 Enrollment ID: I20170118001301 |
| Provider Name | Ruth Babcock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184143190 PECOS PAC ID: 9830457720 Enrollment ID: I20171226000582 |
| Provider Name | Helen R Schaeffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487183794 PECOS PAC ID: 9436418191 Enrollment ID: I20180125002861 |
| Provider Name | Tavia B Whitney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851817381 PECOS PAC ID: 3476809377 Enrollment ID: I20180709000018 |
| Provider Name | Korey E James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598079584 PECOS PAC ID: 8729410683 Enrollment ID: I20191114000285 |
| Provider Name | Annie Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083047120 PECOS PAC ID: 7517394257 Enrollment ID: I20200219001219 |
| Provider Name | Laura M Haberer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689207508 PECOS PAC ID: 2668897497 Enrollment ID: I20200810003535 |
| Provider Name | Garrett Russell Pluhar-schaeffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154883684 PECOS PAC ID: 5799105706 Enrollment ID: I20201013002107 |
| Provider Name | Maria V Masi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194315762 PECOS PAC ID: 3577967397 Enrollment ID: I20210802001158 |
| Provider Name | Michelle E Duel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801479837 PECOS PAC ID: 8325446560 Enrollment ID: I20211001002285 |
| Provider Name | Renae T Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871891788 PECOS PAC ID: 3779981337 Enrollment ID: I20211012002032 |
| Provider Name | Alexis M Westbrook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467036301 PECOS PAC ID: 1052700333 Enrollment ID: I20211106000156 |
| Provider Name | Ariel M Groner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982065637 PECOS PAC ID: 5294121067 Enrollment ID: I20220404000890 |
| Provider Name | Jill A Spooner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902085590 PECOS PAC ID: 2668851577 Enrollment ID: I20220623002545 |
| Provider Name | Megan E Panici |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023544970 PECOS PAC ID: 7618347279 Enrollment ID: I20221226000032 |
| Provider Name | Anne L Thatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245708239 PECOS PAC ID: 5294191961 Enrollment ID: I20230523000554 |
| Provider Name | Lynn M Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578595807 PECOS PAC ID: 9133353998 Enrollment ID: I20231204002145 |
| Provider Name | Gary P Reeves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154813327 PECOS PAC ID: 2769825892 Enrollment ID: I20240206002292 |
| Provider Name | Deanna R Blyth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295370930 PECOS PAC ID: 9931542065 Enrollment ID: I20240206002326 |
| Provider Name | Erin Lea Chu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356827562 PECOS PAC ID: 7315380284 Enrollment ID: I20240207002793 |
| Provider Name | Keenen Elliot Stevenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225418973 PECOS PAC ID: 9830532704 Enrollment ID: I20240207002912 |
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