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NPI Code Detail

MEDICARE: AIM PSYCHOLOGICAL SERVICES CORP

MEDICARE: AIM PSYCHOLOGICAL SERVICES CORP
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
1103TC0700XClinical Psychologist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1653160OTHERILMEDICARE ID TYPE UNSPECIFIED PART B

General Provider Information

NPI Number : 1457658700
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIM PSYCHOLOGICAL SERVICES CORP
Provider Business Mailing Address
First Line : 13 FAIRLANE DR
Second Line :
City : JOLIET
State : IL
Zip : 60435-6483
Country : US
Telephone Number : 312-802-1956
Fax Number : 815-730-1147
Provider Business Practice Location Address
First Line : 13 FAIRLANE DR
Second Line :
City : JOLIET
State : IL
Zip : 60435-6483
Country : US
Telephone Number : 312-802-1956
Fax Number : 815-730-1147
Authorized Official
Title or Position : PYCHOLOGIST
Name : DR. LAURA SCHULTZ
Credential : PSY.D
Telephone Number : 312-802-1956
Provider Enumeration Date : 02/23/2011
Last Update Date : 02/23/2011

Similar Medicare Providers

1548263379 — DR. LAURA T SCHULTZ PSY.D.
Practice Location Address:
13 FAIRLANE DR
JOLIET, IL
60435-6483
Practice Phone: 312-802-1956
Practice Fax:
1114240108 — MRS. DAWN L THIELEMANN-SHIELDS MA, LCPC
Practice Location Address:
13 FAIRLANE DR
JOLIET, IL
60435-6483
Practice Phone: 815-730-8900
Practice Fax: 815-730-0988
1366961047 — MR. GEORGE PAUL ROBINSON LCSW
Practice Location Address:
13 FAIRLANE DR
JOLIET, IL
60435-6483
Practice Phone: 815-730-8900
Practice Fax:
1881154557 — DONNA MILLS
Practice Location Address:
13 FAIRLANE DR
JOLIET, IL
60435-6483
Practice Phone: 815-730-8900
Practice Fax:
1780204552 — JENNIFER AMATO LPC
Practice Location Address:
13 FAIRLANE DR
JOLIET, IL
60435-6483
Practice Phone: 815-730-8900
Practice Fax:
1124638754 — JEFFREY WEISS
Practice Location Address:
13 FAIRLANE DR
JOLIET, IL
60435-6483
Practice Phone: 312-566-7477
Practice Fax:

Directions to “AIM PSYCHOLOGICAL SERVICES CORP ” Practice Location

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