| Ilana Gonik, PHD | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-2172 | |
| Not Available |
| Full Name | Ilana Gonik |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528366853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 071008019 (Illinois) | Primary |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilana Gonik, PHD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-2172 | Ilana Gonik, PHD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-2172 |
Valerie Rosenberg, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6200 Fax: 708-216-6840 | |
Dr. Allisonn Elizabeth Grupski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 217-390-7236 | |
Evelyn Segal, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (fahey Bldg., Rm. 222), Maywood, IL 60153 Phone: 708-216-3750 Fax: 708-216-6840 | |
Merritt Coughlan-smith, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 Washington Blvd, Maywood, IL 60153 Phone: 651-425-8667 | |
Margaret Primeau, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2160 So. First Avenue, Fahey Bldg., Room 213, Maywood, IL 60153 Phone: 708-216-2220 Fax: 708-216-6840 | |
Steven Kimmons, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 | |
Dr. Todd Andrew Doyle, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Dept Of Psychiatry And Behavioral Neurosciences, Maywood, IL 60153 Phone: 708-216-4303 |