MEDICARE: DR. EDGAR A. RAMOS PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071007888	IL

General Provider Information

NPI Number	:	1205140274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDGAR A. RAMOS PSY.D.

Provider Business Mailing Address
First Line	:	630 N NORTH CT STE 180
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-8122
Country	:	US
Telephone Number	:	708-525-0291
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 N NORTH CT STE 180
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-8122
Country	:	US
Telephone Number	:	708-525-0291
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	12/10/2024

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