NPIMap

Edgewood Clinical Services, P.C.

Organization Active NPI Psychologist · Naperville, IL

NPI 1295914646 · NPPES record last updated Mar 6, 2024

Key facts

NPI
1295914646
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
Legal business name
EDGEWOOD CLINICAL SERVICES, P.C.
Practice address
2948 Artesian Rd Ste 112
Naperville, IL 60564-8559
Phone
(630) 428-7890
NPI assigned
Nov 1, 2007
Organization subpart
No

Authorized official

Name
Ryan Pardo
Title
Chief Legal Officer
Phone
(206) 399-1493

Practitioners 633

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 633

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230721001228 IL Part B Supplier - Clinic/Group Practice 3971963901 Receives reassigned benefits from 445 practitioners
Practice locations: Oswego, IL; Lake in the Hills, IL; Orland Park, IL; Oblong, IL; Oak Park, IL; Northbrook, IL; Naperville, IL; Lockport, IL…

National Provider Directory

Locations (25 of 39)

2124 Ogden Ave
Ste 301
Aurora, IL 60504
Phone (331) 227-5496

111 Lions Dr
Ste 210
Barrington, IL 60010
Phone (847) 304-0044

2406 E Empire St
Fl 4
Bloomington, IL 61704

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

755 Almar Pkwy
Bourbonnais, IL 60914
Phone (317) 366-9559

2506 Galen Dr
Ste 101
Champaign, IL 61821
Phone (217) 693-6072

500 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 761-4755

2845 N Sheridan Rd
Ste 809
Chicago, IL 60657
Phone (312) 761-4721

1 E Erie St
Ste 520
Chicago, IL 60611
Phone (312) 761-4726

3976 N Avondale Ave
Fl 2
Chicago, IL 60641
Phone (312) 319-4162

1616 N Damen Ave
Ste 301
Chicago, IL 60647
Phone (312) 761-4720

180 W Park Ave
Ste 150
Elmhurst, IL 60126
Phone (630) 235-8089

1007 Church St
Ste 312
Evanston, IL 60201
Phone (844) 215-4468

28 N 1st St
Ste 201
Geneva, IL 60134
Phone (561) 386-9465

28 N 1st St
Geneva, IL 60134

1790 Nations Dr
Ste 213
Gurnee, IL 60031

581 Elm Pl
Ste 110
Highland Park, IL 60035
Phone (847) 861-7771

901 N Elm St
Ste 275
Hinsdale, IL 60521
Phone (331) 529-8712

120 E Ogden Ave
Ste 11
Hinsdale, IL 60521

1500 Eisenhower Ln
Unit E
Lisle, IL 60532

16221 W 159th St
Ste 102
Lockport, IL 60441
Phone (331) 529-7699

1288 Rickert Dr
Naperville, IL 60540
Phone (630) 527-1818

55 S Main St
Ste 252
Naperville, IL 60540
Phone (630) 238-0949

900 E Diehl Rd
Ste 101
Naperville, IL 60563
Phone (630) 328-0134

1717 N Naper Blvd
Ste 109
Naperville, IL 60563

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YM0800X
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103T00000X Yes
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP		 1041C0700X 149-010253 IL
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Behavioral Neurology & Neuropsychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084B0040X
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LP0808X

Addresses

Primary practice location

2948 Artesian Rd Ste 112
Naperville, IL 60564-8559

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (480) 524-0990

Other names

  • LifeStance Doing business as

Other providers in Naperville, IL

All providers in Naperville, IL · Psychologist in Illinois

Sources for this page

Verify at the official NPI Registry.