| Conventions Psychiatry & Counseling, P.c. | |
|
4300 Weaver Pkwy Ste 100a Warrenville IL 60555-3920 | |
| (630) 416-8289 | |
| (630) 416-8306 |
| Full Name | Conventions Psychiatry & Counseling, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4300 Weaver Pkwy Ste 100a, Warrenville, Illinois |
| Authorized Official Name and Position | Sandeep N. Gaonkar (MEDICAL DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 6304168289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conventions Psychiatry & Counseling, P.c. 4300 Weaver Pkwy Ste 100a Warrenville IL 60555-3920 Ph: (630) 416-8289 | Conventions Psychiatry & Counseling, P.c. 4300 Weaver Pkwy Ste 100a Warrenville IL 60555-3920 Ph: (630) 416-8289 |
| NPI Number | 1053355289 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 01/21/2024 |
| Certification Date | 01/21/2024 |
| Medicare PECOS PAC ID | 0143113027 |
|---|---|
| Medicare Enrollment ID | O20040204000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053355289 | NPI | - | NPPES |
| 4532105 | Other | IL | BCBS |
| DB3417 | Other | IL | M/C RAILROAD |
| 7060599 | Other | IL | AETNA GROUP NO. |
| 308307 | Other | IL | MHN GROUP NO. |
| 536849000 | Other | IL | MAGELLAN GROUP NO. |
| DB3436 | Other | IL | M/C RAILROAD NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paragini Chandarana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639189285 PECOS PAC ID: 2062318694 Enrollment ID: I20031212000224 |
| Provider Name | Sandeep N Gaonkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124084967 PECOS PAC ID: 1355234246 Enrollment ID: I20040204000902 |
| Provider Name | Balamoorti N Gaonkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427014760 PECOS PAC ID: 4385537281 Enrollment ID: I20040204000924 |
| Provider Name | Kavita J Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568509008 PECOS PAC ID: 4082506555 Enrollment ID: I20040524000020 |
| Provider Name | Syed Y Khadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154377836 PECOS PAC ID: 7618932120 Enrollment ID: I20041124000053 |
| Provider Name | Jill M Early |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891985495 PECOS PAC ID: 1153374376 Enrollment ID: I20050301000075 |
| Provider Name | Samar Mahmood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669545943 PECOS PAC ID: 8325060676 Enrollment ID: I20051229000642 |
| Provider Name | Rajeev Malhotra |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1194753491 PECOS PAC ID: 1759473036 Enrollment ID: I20070816000075 |
| Provider Name | Aparna Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619130648 PECOS PAC ID: 4183797830 Enrollment ID: I20080714000697 |
| Provider Name | Dyzzy Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871802744 PECOS PAC ID: 4880875624 Enrollment ID: I20110225000802 |
| Provider Name | Akshatha Shetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932289329 PECOS PAC ID: 3476551094 Enrollment ID: I20160316000999 |
| Provider Name | Christina M Iyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023566726 PECOS PAC ID: 6709166390 Enrollment ID: I20161219000901 |
| Provider Name | Kerrie Blume |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326310046 PECOS PAC ID: 6709134018 Enrollment ID: I20180802002428 |
| Provider Name | Erin Nicole Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083263834 PECOS PAC ID: 9133556905 Enrollment ID: I20200218000822 |
| Provider Name | Michelle L Dela Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811518178 PECOS PAC ID: 6608297981 Enrollment ID: I20200522002398 |
| Provider Name | Daniel E Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982616876 PECOS PAC ID: 6305257759 Enrollment ID: I20201116002828 |
| Provider Name | Anju Bindhu Kallan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669058889 PECOS PAC ID: 3274939236 Enrollment ID: I20210831002082 |
| Provider Name | Yuliya L Rashevska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619526175 PECOS PAC ID: 8123415387 Enrollment ID: I20220419000411 |
| Provider Name | Adeyemi Kobari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215662085 PECOS PAC ID: 5193197440 Enrollment ID: I20230214001791 |
| Provider Name | Anne Anne J Dickinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588796718 PECOS PAC ID: 7618315730 Enrollment ID: I20240409000379 |
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