| Nicole C Cruz, PHD | |
|
8 Salt Creek Ln Ste 202, Hinsdale, IL 60521-2903 | |
| (331) 221-2507 | |
| (847) 425-6408 |
| Full Name | Nicole C Cruz |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 8 Salt Creek Ln Ste 202, Hinsdale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295069177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008425 (Illinois) | Primary |
| 103G00000X | Clinical Neuropsychologist | 071008425 (Illinois) | Secondary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole C Cruz, PHD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Nicole C Cruz, PHD 8 Salt Creek Ln Ste 202, Hinsdale, IL 60521-2903 Ph: (331) 221-2507 |
Thomas Patrick Cothran, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8 Salt Creek Ln Ste 202, Hinsdale, IL 60521 Phone: 847-425-6400 Fax: 847-425-6408 | |
Dr. Paula Ellen Machtinger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 911 N Elm St, Suite 316, Hinsdale, IL 60521 Phone: 708-366-3620 | |
Alexander Friedman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 920 N York Rd Ste 300, Hinsdale, IL 60521 Phone: 818-749-4080 | |
Dr. Mark D Parisi, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15 Spinning Wheel Rd Ste 30, Hinsdale, IL 60521 Phone: 847-909-9858 Fax: 773-313-3320 | |
Dr. Ellen Jorstad-stein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 W Ogden Ave Ste 6, Hinsdale, IL 60521 Phone: 630-280-8900 | |
Dr. Erica D. Drzonek-edwards, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15 Spinning Wheel Rd., Suite 426, Hinsdale, IL 60521 Phone: 630-323-3050 Fax: 630-323-3058 | |
Dr. Brian Weir, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23 N Lincoln St, Hinsdale, IL 60521 Phone: 773-606-1871 |