| C. Tia Michaud, M.d., P.c. | |
|
1240 Iroquois Ave Ste 200 Naperville IL 60563-8538 | |
| (312) 752-8426 | |
| (312) 872-8896 |
| Full Name | C. Tia Michaud, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1240 Iroquois Ave Ste 200, Naperville, Illinois |
| Authorized Official Name and Position | Christine Michaud (PRESIDENT) |
| Authorized Official Contact | 3127528426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Tia Michaud, M.d., P.c. 1240 Iroquois Ave Ste 200 Naperville IL 60563-8538 Ph: (312) 752-8426 | C. Tia Michaud, M.d., P.c. 1240 Iroquois Ave Ste 200 Naperville IL 60563-8538 Ph: (312) 752-8426 |
| NPI Number | 1417211285 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 09/21/2021 |
| Certification Date | 09/21/2021 |
| Medicare PECOS PAC ID | 6507008240 |
|---|---|
| Medicare Enrollment ID | O20130809000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417211285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036122148 (Illinois) | Primary |
| Provider Name | Christine Tia Michaud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831389907 PECOS PAC ID: 2668534975 Enrollment ID: I20130809000145 |
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