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1375 E Schaumburg Rd Ste 240 Schaumburg IL 60194-3643 | |
| (847) 895-4540 | |
| (847) 895-4544 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1375 E Schaumburg Rd Ste 240, Schaumburg, Illinois |
| Authorized Official Name and Position | Chrissie Garza (BILLING/CREDENTIALING) |
| Authorized Official Contact | 8478954540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1375 E Schaumburg Rd Ste 240 Schaumburg IL 60194-3643 Ph: (847) 895-4540 | 1375 E Schaumburg Rd Ste 240 Schaumburg IL 60194-3643 Ph: (847) 895-4540 |
| NPI Number | 1043781958 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 07/08/2024 |
| Certification Date | 12/06/2022 |
| Medicare PECOS PAC ID | 5395084297 |
|---|---|
| Medicare Enrollment ID | O20190311000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043781958 | NPI | - | NPPES |
| Provider Name | Michael Rachman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255340097 PECOS PAC ID: 6608838727 Enrollment ID: I20041101000903 |
| Provider Name | Raymond H Gouttama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558429209 PECOS PAC ID: 8224091236 Enrollment ID: I20041110000955 |
| Provider Name | Alex D Reynish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689756579 PECOS PAC ID: 1658476312 Enrollment ID: I20070425000301 |
| Provider Name | Neal Ross Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063585933 PECOS PAC ID: 2163528472 Enrollment ID: I20070503000154 |
| Provider Name | Marilyn J Stagno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750446720 PECOS PAC ID: 2062504004 Enrollment ID: I20070822001327 |
| Provider Name | Renu Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609908383 PECOS PAC ID: 0244424141 Enrollment ID: I20101104001076 |
| Provider Name | Jean M Tucker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740596543 PECOS PAC ID: 5698960516 Enrollment ID: I20101117000371 |
| Provider Name | James M English |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821112897 PECOS PAC ID: 7113217381 Enrollment ID: I20160531000698 |
| Provider Name | Saad Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831541796 PECOS PAC ID: 8820355480 Enrollment ID: I20171206003026 |
| Provider Name | Olesia Shalayska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558816371 PECOS PAC ID: 8224324017 Enrollment ID: I20180820002153 |
| Provider Name | John Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649762352 PECOS PAC ID: 2264783778 Enrollment ID: I20180922000056 |
| Provider Name | Jocelyn Arackal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044588 PECOS PAC ID: 1355671561 Enrollment ID: I20191001000314 |
| Provider Name | Don Joseph Feeney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548485899 PECOS PAC ID: 7315325396 Enrollment ID: I20220602002895 |
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