| Forefront-khatkhate Medical Services Pc | |
|
600 S 2nd St Ste 404 Springfield IL 62704-2542 | |
| (510) 201-0190 | |
| Not Available |
| Full Name | Forefront-khatkhate Medical Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 S 2nd St Ste 404, Springfield, Illinois |
| Authorized Official Name and Position | Sherry Kovacs (ASSISTANT/PROVIDER ENROLLMENT) |
| Authorized Official Contact | 9495525232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forefront-khatkhate Medical Services Pc 6201 Oak Cyn Ste 150 Irvine CA 92618-5230 Ph: (949) 552-5232 | Forefront-khatkhate Medical Services Pc 600 S 2nd St Ste 404 Springfield IL 62704-2542 Ph: (510) 201-0190 |
| NPI Number | 1164076683 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 08/10/2019 |
| Medicare PECOS PAC ID | 4082944335 |
|---|---|
| Medicare Enrollment ID | O20190930000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164076683 | NPI | - | NPPES |
| 036-119096 | Other | IL | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cindy J Forster Fueredi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942388335 PECOS PAC ID: 9436052883 Enrollment ID: I20040202000050 |
| Provider Name | Brandi M Lander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245301472 PECOS PAC ID: 2062405749 Enrollment ID: I20040407000956 |
| Provider Name | Victoria D Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265618870 PECOS PAC ID: 7911084850 Enrollment ID: I20080402000884 |
| Provider Name | Irma E Funes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578817003 PECOS PAC ID: 0941446009 Enrollment ID: I20130415000407 |
| Provider Name | Elizabeth Birkey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538433248 PECOS PAC ID: 9638318975 Enrollment ID: I20130618000732 |
| Provider Name | Stephanie Jean Bakosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093156408 PECOS PAC ID: 2466689286 Enrollment ID: I20131224000177 |
| Provider Name | Michelle R Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891196838 PECOS PAC ID: 3971737123 Enrollment ID: I20141106000222 |
| Provider Name | Tangee X Moscoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316340789 PECOS PAC ID: 3779808779 Enrollment ID: I20150623000800 |
| Provider Name | Marcia Christina Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558595934 PECOS PAC ID: 8729138581 Enrollment ID: I20160728001996 |
| Provider Name | Monique Manderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619360070 PECOS PAC ID: 5890015994 Enrollment ID: I20160909001608 |
| Provider Name | Nathalie K Rade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104374727 PECOS PAC ID: 2860778651 Enrollment ID: I20170410001898 |
| Provider Name | Carole D Weddington Hunt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831514074 PECOS PAC ID: 4385877166 Enrollment ID: I20180123000107 |
| Provider Name | Leroy M Lambey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548754039 PECOS PAC ID: 9830448885 Enrollment ID: I20180823002743 |
| Provider Name | Gauri P Khatkhate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750588471 PECOS PAC ID: 8123267903 Enrollment ID: I20181108001709 |
| Provider Name | Hesper Nowatzki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790163848 PECOS PAC ID: 8921233057 Enrollment ID: I20191003000235 |
| Provider Name | Melinda Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316365414 PECOS PAC ID: 8729321815 Enrollment ID: I20200128002311 |
| Provider Name | Magdalena Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912491168 PECOS PAC ID: 2961743240 Enrollment ID: I20200130002412 |
| Provider Name | Mary Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487793238 PECOS PAC ID: 0547547416 Enrollment ID: I20200211002290 |
| Provider Name | Angela Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841685989 PECOS PAC ID: 7810216611 Enrollment ID: I20200529002587 |
| Provider Name | Robert C Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20200622001680 |
| Provider Name | Kelly England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164667739 PECOS PAC ID: 0345304218 Enrollment ID: I20201027000640 |
| Provider Name | Milka Galvez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669069829 PECOS PAC ID: 3577971688 Enrollment ID: I20210723002910 |
| Provider Name | Elizabeth Birkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538433248 PECOS PAC ID: 9638318975 Enrollment ID: I20210806000354 |
| Provider Name | Tracy Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528639606 PECOS PAC ID: 1658769310 Enrollment ID: I20211028002650 |
| Provider Name | Brianna Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710599386 PECOS PAC ID: 8527456045 Enrollment ID: I20220412002384 |
Gray Therapy Group, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste N, Springfield, IL 62704 Phone: 847-834-9189 | |
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Better Perspective Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste R, Springfield, IL 62704 Phone: 708-220-5310 | |
Rooted Life Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste 5038, Springfield, IL 62704 Phone: 815-435-0932 |