| Advanced Behavioral Health Services Llc | |
|
1952 Mc Dowell Rd Ste 305 Naperville IL 60563-6507 | |
| (630) 689-1022 | |
| (866) 441-1136 |
| Full Name | Advanced Behavioral Health Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1952 Mc Dowell Rd Ste 305, Naperville, Illinois |
| Authorized Official Name and Position | Petrit Ndrio (OWNER) |
| Authorized Official Contact | 6306891022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Health Services Llc 1952 Mc Dowell Rd Ste 305 Naperville IL 60563-6507 Ph: (630) 689-1022 | Advanced Behavioral Health Services Llc 1952 Mc Dowell Rd Ste 305 Naperville IL 60563-6507 Ph: (630) 689-1022 |
| NPI Number | 1447545579 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 10/28/2011 |
| Medicare PECOS PAC ID | 0941463699 |
|---|---|
| Medicare Enrollment ID | O20120517000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447545579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036.110495 (Illinois) | Primary |
| Provider Name | Petrit Ndrio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861432635 PECOS PAC ID: 2163419706 Enrollment ID: I20040427000796 |
| Provider Name | Renee A Souba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508976937 PECOS PAC ID: 9234128547 Enrollment ID: I20040511001176 |
| Provider Name | Adrian Zhubi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861634990 PECOS PAC ID: 9032338009 Enrollment ID: I20140924001424 |
| Provider Name | Craig Winkeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093098857 PECOS PAC ID: 8224335328 Enrollment ID: I20160404001322 |
| Provider Name | Sehrish Tariq |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174972020 PECOS PAC ID: 0345585519 Enrollment ID: I20181215000232 |
| Provider Name | Shanna Marie Hoekstra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467955625 PECOS PAC ID: 4587906490 Enrollment ID: I20190425000032 |
| Provider Name | Christopher M Poulakos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861869208 PECOS PAC ID: 1759618770 Enrollment ID: I20190813002365 |
| Provider Name | Jasmine Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760031660 PECOS PAC ID: 6204269947 Enrollment ID: I20191210002735 |
| Provider Name | Olivia Marie Blank-stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073085866 PECOS PAC ID: 7113349226 Enrollment ID: I20200618001529 |
| Provider Name | Marisol Reyes Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174904718 PECOS PAC ID: 0941629778 Enrollment ID: I20200929000971 |
| Provider Name | Michelle Christine Mazurek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871105825 PECOS PAC ID: 4082034186 Enrollment ID: I20201012000324 |
| Provider Name | Lee Michael Harms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700484847 PECOS PAC ID: 9537570536 Enrollment ID: I20201124000155 |
| Provider Name | Josie Anne Dawe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255713236 PECOS PAC ID: 1850709403 Enrollment ID: I20210420000780 |
| Provider Name | Ashley Marie Maki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386203511 PECOS PAC ID: 3173931748 Enrollment ID: I20210420001430 |
| Provider Name | Stephanie Ochoa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386299642 PECOS PAC ID: 2769887892 Enrollment ID: I20210826003283 |
| Provider Name | Kelsey Marie Sparacio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821766080 PECOS PAC ID: 4385032507 Enrollment ID: I20211020002532 |
| Provider Name | Jarryd Edward Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154998342 PECOS PAC ID: 5294123428 Enrollment ID: I20211020003027 |
| Provider Name | Christopher Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386361079 PECOS PAC ID: 2163891581 Enrollment ID: I20221207000998 |
| Provider Name | Sara Gjorgjevik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780168245 PECOS PAC ID: 0345600516 Enrollment ID: I20230719002679 |
| Provider Name | Fareha Mir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437648797 PECOS PAC ID: 2769737253 Enrollment ID: I20230926001396 |
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