| Geiger Psychiatric Care Llc | |
|
1752 Windsor Rd Ste 203 Loves Park IL 61111-4276 | |
| (815) 986-2620 | |
| Not Available |
| Full Name | Geiger Psychiatric Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1752 Windsor Rd Ste 203, Loves Park, Illinois |
| Authorized Official Name and Position | Peter Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8159658505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geiger Psychiatric Care Llc 1752 Windsor Rd Ste 203 Loves Park IL 61111-4276 Ph: (815) 986-2620 | Geiger Psychiatric Care Llc 1752 Windsor Rd Ste 203 Loves Park IL 61111-4276 Ph: (815) 986-2620 |
| NPI Number | 1043356595 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1557312154 |
|---|---|
| Medicare Enrollment ID | O20050201000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043356595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Illinois) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
| Provider Name | Marianne Geiger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639215015 PECOS PAC ID: 7719938372 Enrollment ID: I20050202000059 |
| Provider Name | Shahina H Jafry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053383737 PECOS PAC ID: 8729097829 Enrollment ID: I20060418000712 |
| Provider Name | Susan M Razbadouski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801967351 PECOS PAC ID: 4688749377 Enrollment ID: I20080814000399 |
| Provider Name | Eve Zahrndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649635210 PECOS PAC ID: 0547551574 Enrollment ID: I20160623000000 |
| Provider Name | Kelly M Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104464767 PECOS PAC ID: 3779907944 Enrollment ID: I20200721001971 |
| Provider Name | Kayla J Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194291252 PECOS PAC ID: 7214351394 Enrollment ID: I20200722001559 |
| Provider Name | Ryan Louis Carey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033692306 PECOS PAC ID: 2769871391 Enrollment ID: I20211119000743 |
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