Park Ridge Counseling Llc in Park Ridge - Exclusive Provider Organization

Park Ridge Counseling Llc - NPI 1558536094

Park Ridge Counseling Llc is a Exclusive Provider Organization in Park Ridge, Illinois. Park Ridge Counseling Llc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Park Ridge Counseling Llc is 1558536094. The last update date is 2008-09-24.

Park Ridge Counseling Llc's current location address is 350 S. Northwest Highway, Park Ridge, Illinois. You can contact this provider via phone number 8477225967. The mailing address for Park Ridge Counseling Llc is 350 S. Northwest Highway, Park Ridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Park Ridge Counseling Llc
Address 350 S. Northwest Highway, Park Ridge, Illinois
Phone Number 8477225967
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PARTNER/OW
Authorized Official Name Thompson Gidney Tara
Credentials PSYD
Telephone Number 8477225967

NPI Number Detail

NPI Number 1558536094
Provider Enumeration Date 2008-04-25
Last Updated Date 2008-09-24

Provider Mailing Address Detail

Address 350 S. Northwest Highway
City Park Ridge
State Illinois (IL)
Post Code 60068
Phone Number 8477225967
Fax Number

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Licence No 71.007131
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
208217065 IL --
261553352 IL --

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FAQs about Park Ridge Counseling Llc

What is the unique identifier code issued to Park Ridge Counseling Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Park Ridge Counseling Llc has been assigned the NPI (National Provider Identifier) 1558536094. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Park Ridge Counseling Llc is located?

The Park Ridge Counseling Llc is situated at the following address: 350 S. Northwest Highway, Park Ridge, IL, 60068.

What is Park Ridge Counseling Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Park Ridge Counseling Llc is Exclusive Provider Organization, and the taxonomy classification code that categorizes this area of expertise is 302F00000X.

When was the Park Ridge Counseling Llc's 1558536094 issued?

The Park Ridge Counseling Llc's 1558536094 was issued on 2008-04-25.

When was the Park Ridge Counseling Llc's information last updated?

The Park Ridge Counseling Llc's information was last updated on 2008-09-24.

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