Behavioral Medicine And Consulting Pc | |
27w350 High Lake Rd Winfield IL 60190-1262 | |
(630) 933-4607 | |
(630) 933-1933 |
Full Name | Behavioral Medicine And Consulting Pc |
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Speciality | Psychiatry & Neurology |
Location | 27w350 High Lake Rd, Winfield, Illinois |
Authorized Official Name and Position | Saima Sabah (OWNER) |
Authorized Official Contact | 6309334607 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Behavioral Medicine And Consulting Pc 27w350 High Lake Rd Winfield IL 60190-1262 Ph: (630) 933-4607 | Behavioral Medicine And Consulting Pc 27w350 High Lake Rd Winfield IL 60190-1262 Ph: (630) 933-4607 |
NPI Number | 1376683375 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 04/21/2009 |
Medicare PECOS PAC ID | 2668409921 |
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Medicare Enrollment ID | O20050719000856 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376683375 | NPI | - | NPPES |
02232739 | Other | IL | BLUE CROSS GROUP NUMBER |
036102609 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036102609 (Illinois) | Primary |
Provider Name | Saima Sabah |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013901701 PECOS PAC ID: 7517994775 Enrollment ID: I20050722000284 |
Provider Name | Joelle Megan Kezlarian |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861682437 PECOS PAC ID: 8921236696 Enrollment ID: I20140102001623 |
Provider Name | Wafa Husain |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841052511 PECOS PAC ID: 8325580202 Enrollment ID: I20240606002536 |
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