| Dupage Psychiatric Care Pllc | |
|
1100 Lake St Ste Ll60 Oak Park IL 60301-1099 | |
| (708) 434-4080 | |
| (708) 948-7847 |
| Full Name | Dupage Psychiatric Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1100 Lake St Ste Ll60, Oak Park, Illinois |
| Authorized Official Name and Position | Muralidhara Rao (PRESIDENT) |
| Authorized Official Contact | 6303667330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dupage Psychiatric Care Pllc 120 E Ogden Ave Ste 101-a Hinsdale IL 60521-3542 Ph: () - | Dupage Psychiatric Care Pllc 1100 Lake St Ste Ll60 Oak Park IL 60301-1099 Ph: (708) 434-4080 |
| NPI Number | 1801465695 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 2062806490 |
|---|---|
| Medicare Enrollment ID | O20220301002600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801465695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Muralidhara S Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598732398 PECOS PAC ID: 6901834571 Enrollment ID: I20050803001169 |
| Provider Name | Erika Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457746752 PECOS PAC ID: 5890095632 Enrollment ID: I20190731000831 |
| Provider Name | Nida Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457029977 PECOS PAC ID: 3072911247 Enrollment ID: I20211101000748 |
| Provider Name | Rachel Elizabeth Klauber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932668993 PECOS PAC ID: 2264767169 Enrollment ID: I20220420002809 |
| Provider Name | Anandbhai Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467912774 PECOS PAC ID: 4082946272 Enrollment ID: I20230830003300 |
| Provider Name | Aliya Hussain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932819067 PECOS PAC ID: 3375990765 Enrollment ID: I20231107000476 |
| Provider Name | Carly Jessica Klauber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275277808 PECOS PAC ID: 0345698569 Enrollment ID: I20231129001649 |
| Provider Name | Anita Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174985055 PECOS PAC ID: 6204128903 Enrollment ID: I20240103003977 |
| Provider Name | Bolatito Olubukola Ogunsanwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619747219 PECOS PAC ID: 8921449380 Enrollment ID: I20240516000324 |
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