| David Barecki, PSYD | |
|
6006 159th St Bldg C, Oak Forest, IL 60452-2904 | |
| (708) 535-7320 | |
| Not Available |
| Full Name | David Barecki |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 6006 159th St Bldg C, Oak Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124388574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071010561 (Illinois) | Primary |
| Entity Name | Genesis Therapy Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447264890 PECOS PAC ID: 9436461720 Enrollment ID: O20150629002166 |
| Mailing Address | Practice Location Address |
|---|---|
| David Barecki, PSYD 106 N Vincent Dr, Bolingbrook, IL 60490-5586 Ph: (773) 459-2856 | David Barecki, PSYD 6006 159th St Bldg C, Oak Forest, IL 60452-2904 Ph: (708) 535-7320 |
Dr. Sarah J Jurkovic, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6006 159th St, Building C, Oak Forest, IL 60452 Phone: 708-535-7320 |
Dr. Barbara Lyn Thomas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15900 S. Cicero Ave., Oak Forest Hospital / Psychology Department, Oak Forest, IL 60452 Phone: 708-633-4462 Fax: 708-633-3368 |
Dr. Barbara R Kraus, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 6320 159th St, Suite C, Oak Forest, IL 60452 Phone: 708-429-2777 Fax: 708-429-2780 |
Dr. Malcolm K Brachman Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15900 S Cicero, Oak Forest, IL 60452 Phone: 708-633-3478 Fax: 708-633-3449 |
Michael Hamarneh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6320 W 159th St, Suite C, Oak Forest, IL 60452 Phone: 708-429-2777 Fax: 708-429-2780 |
Ms. Mara Palmer, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15000 Laramie Ave, Oak Forest, IL 60452 Phone: 708-687-3334 |
Dr. Michael John Devries, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15601 Cicero Ave, Suite 103, Oak Forest, IL 60452 Phone: 708-687-3479 Fax: 708-687-3480 |