MEDICARE: RAMOS AND 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	103TC0700X	Clinical Psychologist
2	103T00000X	Psychologist	071007888	IL

General Provider Information

NPI Number	:	1134676687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMOS AND ASSOCIATES LLC

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	:	OWNER
Name	:	EDGAR RAMOS
Credential	:	PSYD
Telephone Number	:	708-525-0291

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	09/29/2023

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