| Advance Psychiatry & Counseling, Inc. | |
|
One Tiffany Pointe Suite 110 Bloomingdale IL 60108-2915 | |
| (630) 924-1160 | |
| (630) 924-1192 |
| Full Name | Advance Psychiatry & Counseling, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | One Tiffany Pointe, Bloomingdale, Illinois |
| Authorized Official Name and Position | Aqeel A. Khan (PRESIDENT) |
| Authorized Official Contact | 6309241160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Psychiatry & Counseling, Inc. 5973 Department Carol Stream IL 60122-0021 Ph: (630) 924-1160 | Advance Psychiatry & Counseling, Inc. One Tiffany Pointe Suite 110 Bloomingdale IL 60108-2915 Ph: (630) 924-1160 |
| NPI Number | 1669563789 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 07/01/2010 |
| Medicare PECOS PAC ID | 1456353929 |
|---|---|
| Medicare Enrollment ID | O20070213000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669563789 | NPI | - | NPPES |
| 214675 | Other | IL | MEDICARE PROVIDER # |
| 214674 | Other | IL | MEDICARE PROVIDER # |
| 214658 | Other | IL | MEDICARE PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036111021 (Illinois) | Primary |
| Provider Name | Aqeel Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046735 PECOS PAC ID: 3678535457 Enrollment ID: I20041104000952 |
| Provider Name | Ghazala Fayyaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649223595 PECOS PAC ID: 7012945488 Enrollment ID: I20050728000188 |
| Provider Name | Zafeer H K Berki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396722815 PECOS PAC ID: 8820013923 Enrollment ID: I20060710000271 |
| Provider Name | Elizabeth M Wengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144469917 PECOS PAC ID: 5698831071 Enrollment ID: I20090310000474 |
| Provider Name | Syed Imran Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922236835 PECOS PAC ID: 8729255971 Enrollment ID: I20120111000803 |
| Provider Name | Alexander Medvedev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588893101 PECOS PAC ID: 6709053952 Enrollment ID: I20120111000830 |
| Provider Name | Philomina Toni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265891865 PECOS PAC ID: 6800183971 Enrollment ID: I20160919000923 |
| Provider Name | Lisa Siby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033650940 PECOS PAC ID: 6406131325 Enrollment ID: I20170316000105 |
| Provider Name | Ejaz N Jafri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225408289 PECOS PAC ID: 9830458041 Enrollment ID: I20180116001902 |
| Provider Name | Jeff M Palacios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053373274 PECOS PAC ID: 3476456161 Enrollment ID: I20180623000089 |
| Provider Name | Nirmal Dass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134603046 PECOS PAC ID: 6002149911 Enrollment ID: I20190607002460 |
| Provider Name | Ann Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619396207 PECOS PAC ID: 1254637226 Enrollment ID: I20190801001872 |
| Provider Name | Omolola Adeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689389629 PECOS PAC ID: 1456706837 Enrollment ID: I20231005001845 |
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