Sanghee Kim-ansbro, | |
4500 College Ave, Alton, IL 62002-5051 | |
(618) 474-3800 | |
Not Available |
Full Name | Sanghee Kim-ansbro |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 4500 College Ave, Alton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609980127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 036078727 (Illinois) | Primary |
Entity Name | Illinois Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
Mailing Address | Practice Location Address |
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Sanghee Kim-ansbro, 129 Fox Hill Ct, Edwardsville, IL 62025-5736 Ph: () - | Sanghee Kim-ansbro, 4500 College Ave, Alton, IL 62002-5051 Ph: (618) 474-3800 |
David Montani, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 College Ave, Alton, IL 62002 Phone: 618-474-3227 | |
Mirza S A Baig, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Rupa Maitra, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 College Ave, Alton, IL 62002 Phone: 618-474-3800 | |
Ajitesh Rai, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-465-8666 Fax: 618-465-8670 | |
Mohammad Sajed, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-465-8666 Fax: 618-483-7216 | |
Jagannath Patil, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-465-8829 Fax: 618-465-5599 |