MEDICARE: INSIGHTFUL SOLUTIONS PC

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	071008135	IL
2	103TC0700X	Clinical Psychologist	071007988	IL
3	103TC0700X	Clinical Psychologist	071007992	IL

General Provider Information

NPI Number	:	1942648761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHTFUL SOLUTIONS PC

Provider Business Mailing Address
First Line	:	18425 W CREEK DR STE D
Second Line	:
City	:	TINLEY PARK
State	:	IL
Zip	:	60477-6768
Country	:	US
Telephone Number	:	708-995-1967
Fax Number	:

Provider Business Practice Location Address
First Line	:	10310 ORLAND PKWY
Second Line	:	SUITE 201
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-5628
Country	:	US
Telephone Number	:	708-689-4684
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERICKA SWANSON
Credential	:	PSYD
Telephone Number	:	219-805-0451

Provider Enumeration Date	:	06/14/2013
Last Update Date	:	07/12/2022

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