| William J Udrow, PSYD | |
|
501 Ella Ave, Joliet, IL 60433-2799 | |
| (815) 727-8521 | |
| Not Available |
| Full Name | William J Udrow |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 501 Ella Ave, Joliet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598057713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008384 (Illinois) | Primary |
| Entity Name | Will County Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902811714 PECOS PAC ID: 5395633317 Enrollment ID: O20040310000197 |
| Mailing Address | Practice Location Address |
|---|---|
| William J Udrow, PSYD 4823 W Grace St, Chicago, IL 60641-3504 Ph: () - | William J Udrow, PSYD 501 Ella Ave, Joliet, IL 60433-2799 Ph: (815) 727-8521 |
Laura Jackman, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1415 Maple Rd, Joliet, IL 60432 Phone: 815-735-0732 | |
Zarifa Jadallah, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Raynor Ave, Joliet, IL 60435 Phone: 815-740-3196 | |
Rita Gray Ii, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-5904 Fax: 815-727-0136 | |
Shadequia Davis, MS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 402 Richards St, Joliet, IL 60433 Phone: 815-727-5271 | |
Eboni Caldwell, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Raynor Ave, Joliet, IL 60435 Phone: 815-740-3196 | |
Dr. Angela N Chastain, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 501 Ella Ave, Joliet, IL 60433 Phone: 815-727-8521 | |
Dr. Matthew Edward Skarbek, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 Springfield Ave, Joliet, IL 60435 Phone: 630-369-2889 |