Gary R Speulda (NPI# 1194827014, PAC ID# 4789646811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1194827014 |
| PAC ID by PECOS | 4789646811 |
| Professional Enrollment ID | I20041101000995 |
| Full Name | Gary R Speulda |
| Organization Legal Name | GARY R. SPEULDA, PSY.D. LTD. |
| Address |
4 Vigilance Ct Bolingbrook IL 60440-1223 |
| Phone Number | 6305251549 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1992 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 5092851501 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140292 | ADVENTIST GLENOAKS |
| Address | Phone | Organization |
|---|---|---|
| 4 Vigilance Ct, Bolingbrook, IL 60440-1223 | 6305251549 | GARY R. SPEULDA, PSY.D. LTD. |
| Organization Legal Name | GARY R. SPEULDA, PSY.D. LTD. |
| Physicians | 1 |
| Street Address |
4 VIGILANCE CT |
| City | BOLINGBROOK |
| State | IL |
| Zip | 60440-1223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vafa Shayani | General Surgery | 402 S Schmidt Rd, Suite 235, Bolingbrook, IL 60440 | |
| Ronald P Pieroni | Podiatry | 469 N Bolingbrook Dr, Bolingbrook, IL 60440-1322 | |
| Sijun Yang | Internal Medicine | 454 W Boughton Rd C, Bolingbrook, IL 60440-1378 | |
| Jeffrey M Mackler | Podiatry | 454 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1378 | |
| Amara Bukhari | Chiropractic | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 | |
| Mark J Mcnally | Chiropractic | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 | |
| Ashley Lederman | Chiropractic | Jbh Medical Corporation, Ltd | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 |
| Brian P Berry | Optometry | 1243 W Boughton Rd, Bolingbrook, IL 60440-1509 | |
| Riddhi Pakrasi | Internal Medicine | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Mydhili Nandanan Moorthie | Family Medicine | Edward Hospital | 130 N Weber Rd, Suite 108, Bolingbrook, IL 60440-1519 |
| Find all physicians in zip 60440 | |||
| City | BOLINGBROOK |
| Zip Code | 60440 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | BOLINGBROOK + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Gary R Speulda.
| 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.