Leah Pendarvis (NPI# 1093715088, PAC ID# 3971543448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1093715088 |
| PAC ID by PECOS | 3971543448 |
| Professional Enrollment ID | I20050504001042 |
| Full Name | Leah Pendarvis |
| Address |
11 N Slusser St Grayslake IL 60030-1524 |
| Phone Number | 8475489313 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1985 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11 N Slusser St, Grayslake, IL 60030-1524 | 8475489313 |
| Street Address |
11 N SLUSSER ST |
| City | GRAYSLAKE |
| State | IL |
| Zip | 60030-1524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane E Petersen | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
| Gail M Weil | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
| Andrea Bercos | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Grayslake, IL 60030 |
| Marty J Ziemer | Clinical Social Worker | 34140 N Hickory Ave, Grayslake, IL 60030-1016 | |
| Griff J Winters | Podiatry | 770 Barron Blvd, Grayslake, IL 60030-1330 | |
| Scott Damon Pouyat | Optometry | 661 N Lake St, Grayslake Eyecare, Grayslake, IL 60030-1471 | |
| Daniel S Tresley | Ophthalmology | 661 Lake St, Grayslake, IL 60030-1471 | |
| Charles E Hutchcraft | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
| Julie A Pettinato | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
| Terrence Ray Miller | Chiropractic | 242 Ctr St, Grayslake, IL 60030-1535 | |
| Find all physicians in zip 60030 | |||
| City | GRAYSLAKE |
| Zip Code | 60030 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | GRAYSLAKE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Leah Pendarvis.
| 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.