Affective Psychiatry Pllc | |
1136 S Delano Ct W Ste B201 Chicago IL 60605-3734 | |
(732) 328-8156 | |
Not Available |
Full Name | Affective Psychiatry Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1136 S Delano Ct W Ste B201, Chicago, Illinois |
Authorized Official Name and Position | Michael Swiatkowski (OWNER) |
Authorized Official Contact | 7323288156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Affective Psychiatry Pllc 1136 S Delano Ct W Ste B201 Chicago IL 60605-3734 Ph: (732) 328-8156 | Affective Psychiatry Pllc 1136 S Delano Ct W Ste B201 Chicago IL 60605-3734 Ph: (732) 328-8156 |
NPI Number | 1790552859 |
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Provider Enumeration Date | 12/08/2023 |
Last Update Date | 01/01/2024 |
Certification Date | 01/01/2024 |
Medicare PECOS PAC ID | 4981048220 |
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Medicare Enrollment ID | O20240215000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790552859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Michael Swiatkowski |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891157178 PECOS PAC ID: 1254613508 Enrollment ID: I20201203001222 |
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