Kathleen Weir, | |
3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | |
(219) 769-4005 | |
Not Available |
Full Name | Kathleen Weir |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3903 Indianapolis Blvd, East Chicago, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891333803 | NPI | - | NPPES |
71009624A | Other | IN | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 71009624A (Indiana) | Primary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20040513000199 |
Mailing Address | Practice Location Address |
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Kathleen Weir, 123 S Green St Apt 1207b, Chicago, IL 60607-3660 Ph: (585) 507-5669 | Kathleen Weir, 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 769-4005 |
Farzana A Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2010 E Columbus Dr, East Chicago, IN 46312 Phone: 219-397-6369 | |
Prakash Varghese, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 | |
Lolita O Ang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-3998 | |
Graciela E Hernandez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4320 Fir St Ste 206, East Chicago, IN 46312 Phone: 219-397-2929 Fax: 219-397-2929 | |
Joon Woo Lee, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-392-6096 Fax: 219-392-6998 | |
Epifanio Gloria Sandoval, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Dr. Stephane Bernard Degraff, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4320 Fir St Ste 4141, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470 |