Ci Psych, Pllc | |
1990 Larkin Ave # C3 Elgin IL 60123-5827 | |
(630) 201-1533 | |
Not Available |
Full Name | Ci Psych, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1990 Larkin Ave # C3, Elgin, Illinois |
Authorized Official Name and Position | Cheryl Lynn Ischar (CEO/PMHNP) |
Authorized Official Contact | 6305280736 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ci Psych, Pllc 1990 Larkin Ave # C3 Elgin IL 60123-5827 Ph: (630) 528-0736 | Ci Psych, Pllc 1990 Larkin Ave # C3 Elgin IL 60123-5827 Ph: (630) 201-1533 |
NPI Number | 1295462323 |
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Provider Enumeration Date | 08/08/2022 |
Last Update Date | 01/24/2023 |
Certification Date | 01/24/2023 |
Medicare PECOS PAC ID | 7416325485 |
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Medicare Enrollment ID | O20221122002958 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295462323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Cheryl L Ischar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801434733 PECOS PAC ID: 0244640613 Enrollment ID: I20201113002407 |
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