Mr Nakib Ahmed Mansuri, MD | |
611 W Park St, Urbana, IL 61801-2529 | |
(217) 383-3311 | |
Not Available |
Full Name | Mr Nakib Ahmed Mansuri |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 611 W Park St, Urbana, 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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1093380818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 125.078364 (Illinois) | Primary |
Entity Name | Bespoke Psychiatry |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952937104 PECOS PAC ID: 3274951744 Enrollment ID: O20200915002352 |
Mailing Address | Practice Location Address |
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Mr Nakib Ahmed Mansuri, MD 4426 W Lunt Ave, Lincolnwood, IL 60712-2223 Ph: () - | Mr Nakib Ahmed Mansuri, MD 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3311 |
Dr. Mitava Dipesh Thakkar, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-365-2855 | |
Harry L Bremer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Neurology, Urbana, IL 61801 Phone: 217-383-3440 Fax: 217-383-3171 | |
Dr. Marshall Louis Garrick, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1109 S Lincoln Ave, 3 Rd Floor, Urbana, IL 61801 Phone: 217-333-2705 Fax: 217-244-1758 | |
Dr. Daniel Carlos Chavez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Chriss Ilunga Mulumba, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Najoua Alioualla, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 309-268-4365 |