Organization
ASSOCIATES IN MEDIATION & COUNSELING, INC.
Active
Other names
Cheryl Spielman, Psy.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL SPIELMAN PSY.D. (PRESIDENT, CLINICAL PSYCHOLOGIST)
(847) 433-2030
Entity
Organization
Contact information
Practice address
601 SKOKIE BLVD STE 101, NORTHBROOK, IL 60062-2817
(847) 433-2030
(224) 676-0412
Mailing address
1508 CANBURY CT, UNIT D-1, WHEELING, IL 60090-6971
(847) 433-2030
(224) 676-0412
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-003964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056747
VALUE OPTIONS PROVIDER ID
IL
01
—
262296
UBH PROVIDER ID NUMBER
—
01
—
4249359
AETNA PROVIDER NUMBER
—
01
—
4922214
BLUE CROSS BLUE SHIELD IL
IL
01
—
MIS#458043000
MAGELLAN PROVIDER ID#
—
Enumeration date
07/23/2006
Last updated
12/14/2012
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