OAK FOREST PSYCHOLOGICAL SERVICE – Clinical Psychologist, NPI 1225209414
Clinical Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OAK FOREST PSYCHOLOGICAL SERVICE
Joliet Road, Countryside, Lyons Township, Cook County, Illinois, 60525, United States
FLOOR 2
COUNTRYSIDE, IL 605254613
Phone: (708) 215-8400
Fax: (708) 215-8410
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-26
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 60525)
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