| Verne H. Noparstak, Inc. | |
|
633 Skokie Blvd Suite #260 Northbrook IL 60062-2858 | |
| (847) 404-1312 | |
| Not Available |
| Full Name | Verne H. Noparstak, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 633 Skokie Blvd, Northbrook, Illinois |
| Authorized Official Name and Position | Verne Howard Noparstak (PRESIDENT) |
| Authorized Official Contact | 8474041312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verne H. Noparstak, Inc. 5133 Howard St Skokie IL 60077-2832 Ph: (847) 404-1312 | Verne H. Noparstak, Inc. 633 Skokie Blvd Suite #260 Northbrook IL 60062-2858 Ph: (847) 404-1312 |
| NPI Number | 1245417369 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Medicare PECOS PAC ID | 3476803438 |
|---|---|
| Medicare Enrollment ID | O20180912002386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245417369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071005397 (Illinois) | Primary |
| Provider Name | Verne Noparstak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134166952 PECOS PAC ID: 6901943414 Enrollment ID: I20091102000064 |
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