| Advent Neurology Sc | |
|
657 E Golf Rd Suite 304 Arlington Heights IL 60005-4968 | |
| (847) 640-7377 | |
| (847) 640-7977 |
| Full Name | Advent Neurology Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 657 E Golf Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Sailaja Maramreddy (PRESIDENT) |
| Authorized Official Contact | 8476407377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advent Neurology Sc 657 E Golf Rd Suite 304 Arlington Heights IL 60005-4968 Ph: (847) 640-7377 | Advent Neurology Sc 657 E Golf Rd Suite 304 Arlington Heights IL 60005-4968 Ph: (847) 640-7377 |
| NPI Number | 1205913308 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 04/24/2015 |
| Medicare PECOS PAC ID | 1557330248 |
|---|---|
| Medicare Enrollment ID | O20040929000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205913308 | NPI | - | NPPES |
| DC1155 | Other | IL | RAIL ROAD MEDICARE |
| 01634570 | Other | IL | BCBS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sailaja V Maramreddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053307132 PECOS PAC ID: 6901875046 Enrollment ID: I20040927000505 |
| Provider Name | Eunice E Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043684863 PECOS PAC ID: 9436448610 Enrollment ID: I20160511000268 |
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