Provider Demographics
NPI:1568980241
Name:SPECTRUM PSYCHOLOGICAL SERVICES INC.
Entity Type:Organization
Organization Name:SPECTRUM PSYCHOLOGICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:ESSARY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-310-9957
Mailing Address - Street 1:7717 STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4427
Mailing Address - Country:US
Mailing Address - Phone:630-710-2002
Mailing Address - Fax:
Practice Address - Street 1:7717 STEVENS ST
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561
Practice Address - Country:US
Practice Address - Phone:630-710-2002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071009197103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty