| Dr. Raja Gill Sc | |
|
1127 S Mannheim Rd 116 Westchester IL 60154-2570 | |
| (708) 632-5612 | |
| Not Available |
| Full Name | Dr. Raja Gill Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1127 S Mannheim Rd, Westchester, Illinois |
| Authorized Official Name and Position | Anita Singh (MANAGER) |
| Authorized Official Contact | 7086325612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Raja Gill Sc 1127 S Mannheim Rd 116 Westchester IL 60154-2570 Ph: (708) 632-5612 | Dr. Raja Gill Sc 1127 S Mannheim Rd 116 Westchester IL 60154-2570 Ph: (708) 632-5612 |
| NPI Number | 1386876183 |
|---|---|
| Provider Enumeration Date | 08/13/2009 |
| Last Update Date | 08/13/2009 |
| Medicare PECOS PAC ID | 0345394557 |
|---|---|
| Medicare Enrollment ID | O20090821000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386876183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Raja S Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851540165 PECOS PAC ID: 0446314108 Enrollment ID: I20090126000478 |
| Provider Name | Sharon W Glickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770816431 PECOS PAC ID: 3476697517 Enrollment ID: I20100212000535 |
| Provider Name | Gian Bonador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068421 PECOS PAC ID: 2567716608 Enrollment ID: I20181108001659 |
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