| Dr Ari Samuel Lakritz, PSYD | |
|
1 Saint Anthonys Way, Alton, IL 62002-4568 | |
| (186) 474-6246 | |
| Not Available |
| Full Name | Dr Ari Samuel Lakritz |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 6 Years |
| Location | 1 Saint Anthonys Way, Alton, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942947684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.010807 (Illinois) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony's Health Center | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Healthcare System | 4284541806 | 94 |
| Osf Multi-specialty Group | 3678889789 | 2123 |
| Entity Name | OSF Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437551322 PECOS PAC ID: 4284541806 Enrollment ID: O20150710000901 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ari Samuel Lakritz, PSYD 1 Saint Anthonys Way, Alton, IL 62002-4568 Ph: (186) 474-6246 | Dr Ari Samuel Lakritz, PSYD 1 Saint Anthonys Way, Alton, IL 62002-4568 Ph: (186) 474-6246 |
Dr. Perris Joseph Monrow, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Riverview Dr, Alton, IL 62002 Phone: 618-363-6033 Fax: 618-462-6410 |
Cheryl Lynn Broneck, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 915 E 5th St, Alton, IL 62002 Phone: 618-463-5442 Fax: 618-474-6242 |