Debra M Block


Address: 1300 Meadow Rd, Suite 210, Northbrook, IL 60062-3692

Debra M Block (NPI# 1871624890, PAC ID# 7719967207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1871624890
PAC ID by PECOS 7719967207
Professional Enrollment ID I20040723001253
Full Name Debra M Block
Address 1300 Meadow Rd
Suite 210
Northbrook
IL 60062-3692
Gender F
Credential CP
Graduation Year 2000
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2740 W Foster Ave, Suite 109, Chicago, IL 60625-3547
1300 Meadow Rd, Suite 210, Northbrook, IL 60062-3692

Organization Information

Office Location

Street Address 1300 MEADOW RD
SUITE 210
City NORTHBROOK
State IL
Zip 60062-3692

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Competitor

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City NORTHBROOK
Zip Code 60062
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty NORTHBROOK + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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