MEDICARE: PALOS PSYCHOTHERAPY ASSOCIATES, LLC

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	1041C0700X	Clinical Social Worker	149010486	IL

General Provider Information

NPI Number	:	1295007318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALOS PSYCHOTHERAPY ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	7330 W COLLEGE DR
Second Line	:	SUITE 202
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7330 W COLLEGE DR
Second Line	:	SUITE 202
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1157
Country	:	US
Telephone Number	:	708-364-7272
Fax Number	:

Authorized Official
Title or Position	:	LCPC
Name	:	PATRICIA RUECKHEIM
Credential	:	LCPC
Telephone Number	:	708-364-7272

Provider Enumeration Date	:	02/05/2012
Last Update Date	:	02/06/2012

Similar Medicare Providers

1891888319 — PATRICIA RUECKHEIM LCPC
Practice Location Address:

7330 W COLLEGE DR , SUITE 210
PALOS HEIGHTS, IL
60463-1157

Practice Phone: 708-364-7272
Practice Fax:

1457996803 — SUZY SHEPARD MA, MED, LPC, NCC
Practice Location Address:

7330 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1157

Practice Phone: 312-937-0457
Practice Fax:

1033749106 — LIFE SOLUTIONS COUNSELING SERVICES
Practice Location Address:

7330 W COLLEGE DR STE 207
PALOS HEIGHTS, IL
60463-1157

Practice Phone: 708-568-1479
Practice Fax:

1548936958 — JACLYN M ANTONIOLLI LPC
Practice Location Address:

7330 W COLLEGE DR STE 206
PALOS HEIGHTS, IL
60463-1157

Practice Phone: 224-424-3105
Practice Fax:

1326705989 — MRS. KIMBERLY ANN MOYER LCPC
Practice Location Address:

7330 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1157

Practice Phone: 708-316-1377
Practice Fax:

1255191367 — MRS. JEANINE MARIE GRANT LPC
Practice Location Address:

7330 W COLLEGE DR
PALOS HEIGHTS, IL
60463-1157

Practice Phone: 630-936-2916
Practice Fax:

Directions to “PALOS PSYCHOTHERAPY ASSOCIATES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.