| Dr Andrea Christine Gaspar Gonzalez, PSYD | |
|
225 E Deerpath Ste 280, Lake Forest, IL 60045-1973 | |
| (224) 544-9219 | |
| Not Available |
| Full Name | Dr Andrea Christine Gaspar Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 225 E Deerpath Ste 280, Lake 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 |
|---|---|---|---|
| 1952655680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071010302 (Illinois) | Primary |
| Entity Name | 360 Degrees Wellness & Coaching Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497176523 PECOS PAC ID: 8426288978 Enrollment ID: O20140228000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrea Christine Gaspar Gonzalez, PSYD 4833 N Paulina St, Chicago, IL 60640-4105 Ph: (224) 544-9219 | Dr Andrea Christine Gaspar Gonzalez, PSYD 225 E Deerpath Ste 280, Lake Forest, IL 60045-1973 Ph: (224) 544-9219 |
Dr. David Scott Levin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 272 E Deerpath Rd, Suite 242, Lake Forest, IL 60045 Phone: 847-295-8377 Fax: 847-615-7071 | |
Dr. Edward William Neumann, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 E Deerpath Ste 280, Lake Forest, IL 60045 Phone: 847-796-6400 | |
Patricia Briggs, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 811 Carroll Rd, Lake Forest, IL 60045 Phone: 847-849-0383 | |
Robert Kevin Heinrich, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 900 N Westmoreland Rd, Suite 216, Lake Forest, IL 60045 Phone: 847-615-9900 | |
Elizabeth Fishman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 950 N Western Ave Ste 1a, Lake Forest, IL 60045 Phone: 847-234-0534 | |
James E Devine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd, Ste Ll70, Lake Forest, IL 60045 Phone: 847-295-0340 Fax: 847-295-0351 | |
Anupama Harvey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 225 E Deerpath Ste 280, Lake Forest, IL 60045 Phone: 847-796-6400 |