Clearview Psychiatric Services Llc | |
1603 Orrington Ave Ste 600 Evanston IL 60201-3860 | |
(847) 986-8978 | |
Not Available |
Full Name | Clearview Psychiatric Services Llc |
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Speciality | Clinic/Center |
Location | 1603 Orrington Ave Ste 600, Evanston, Illinois |
Authorized Official Name and Position | Olabode Oluga (DIRECTOR) |
Authorized Official Contact | 8479868978 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clearview Psychiatric Services Llc 1603 Orrington Ave Ste 600 Evanston IL 60201-3860 Ph: (847) 986-8978 | Clearview Psychiatric Services Llc 1603 Orrington Ave Ste 600 Evanston IL 60201-3860 Ph: (847) 986-8978 |
NPI Number | 1952189227 |
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Provider Enumeration Date | 09/18/2023 |
Last Update Date | 01/02/2024 |
Certification Date | 12/30/2023 |
Medicare PECOS PAC ID | 3870941230 |
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Medicare Enrollment ID | O20231122002400 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952189227 | NPI | - | NPPES |
Provider Name | Olabode Moses Oluga |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942946207 PECOS PAC ID: 4789032145 Enrollment ID: I20231122002473 |
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