Dr Peter Warner Nichols Jr, MD | |
1400 E Irving Park Rd, Streamwood, IL 60107-3201 | |
(630) 837-9000 | |
Not Available |
Full Name | Dr Peter Warner Nichols Jr |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1400 E Irving Park Rd, Streamwood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013112143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036.118548 (Illinois) | Primary |
Entity Name | Lutheran Social Services Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063637684 PECOS PAC ID: 2163403551 Enrollment ID: O20050322001114 |
Entity Name | Bhc Streamwood Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619916822 PECOS PAC ID: 1759291461 Enrollment ID: O20140324001101 |
Entity Name | Chicago Bh Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972384758 PECOS PAC ID: 4284021262 Enrollment ID: O20220805003038 |
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
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Dr Peter Warner Nichols Jr, MD 904 W Diversey Pkwy Apt 2w, Chicago, IL 60614-1468 Ph: (626) 253-0786 | Dr Peter Warner Nichols Jr, MD 1400 E Irving Park Rd, Streamwood, IL 60107-3201 Ph: (630) 837-9000 |
Farzana Alam, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-837-3708 | |
Gayatri Kolluru Baker, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-837-9000 | |
Dr. Amar Chawla, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 330-758-4515 Fax: 330-758-5121 | |
Dr. Veronica Murphy, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-837-9000 Fax: 630-837-9000 | |
Dr. Eric Ward Nolan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 314-223-2993 | |
Adnan Safvi, D.O. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1400 E Irving Park Rd, Streamwood, IL 60107 Phone: 630-483-5577 |