| Center For Neurological Disorders S,c | |
|
5600 W Addison St Suite 406 Chicago IL 60634 | |
| (773) 205-9800 | |
| (773) 205-9801 |
| Full Name | Center For Neurological Disorders S,c |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5600 W Addison St, Chicago, Illinois |
| Authorized Official Name and Position | Prasad Chappidi (PRESIDENT) |
| Authorized Official Contact | 7732059800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Neurological Disorders S,c Po Box 320 Glenview IL 60025-0320 Ph: (847) 400-5540 | Center For Neurological Disorders S,c 5600 W Addison St Suite 406 Chicago IL 60634 Ph: (773) 205-9800 |
| NPI Number | 1669485777 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 06/05/2018 |
| Medicare PECOS PAC ID | 9133152234 |
|---|---|
| Medicare Enrollment ID | O20050917000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669485777 | NPI | - | NPPES |
| 036097660 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036097660 (Illinois) | Primary |
| Provider Name | Prasad Chappidi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013032499 PECOS PAC ID: 6608865381 Enrollment ID: I20040507001236 |
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