Central Il Psychiatric Associates, Inc | |
405 Kays Drive Suite B Normal IL 61761 | |
(309) 862-0064 | |
(309) 862-1542 |
Full Name | Central Il Psychiatric Associates, Inc |
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Speciality | Psychiatry & Neurology |
Location | 405 Kays Drive, Normal, Illinois |
Authorized Official Name and Position | Raju N Paturi (OWNER) |
Authorized Official Contact | 3098620064 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Il Psychiatric Associates, Inc 405 Kays Dr Suite B Normal IL 61761-1979 Ph: (309) 862-0064 | Central Il Psychiatric Associates, Inc 405 Kays Drive Suite B Normal IL 61761 Ph: (309) 862-0064 |
NPI Number | 1265509392 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 02/06/2013 |
Medicare PECOS PAC ID | 9436056629 |
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Medicare Enrollment ID | O20031216000579 |
Identifier | Type | State | Issuer |
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1265509392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Raju N Paturi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912085010 PECOS PAC ID: 6406753698 Enrollment ID: I20060217000312 |
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