Provider Demographics
NPI:1568988905
Name:COMPASSIONATE NEUROPSYCHOLOGY, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE NEUROPSYCHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILSON-BINOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:847-436-8511
Mailing Address - Street 1:315 N DRYDEN PL
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-6313
Mailing Address - Country:US
Mailing Address - Phone:847-436-8511
Mailing Address - Fax:847-873-0206
Practice Address - Street 1:315 N DRYDEN PL
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-6313
Practice Address - Country:US
Practice Address - Phone:847-436-8511
Practice Address - Fax:847-873-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008512103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1831459601OtherBLUE CROSS BLUE SHIELD PPO
TN1831459601OtherCIGNA
1831459601OtherUNITED BEHAVIORAL HEALTH
1831459601OtherOPTUM HEALTHCARE
TX1831459601OtherAETNA