| Ghadeer Counseling Services Pc | |
|
211 E Lake St Ste 1b Addison IL 60101-2877 | |
| (773) 817-5928 | |
| Not Available |
| Full Name | Ghadeer Counseling Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 211 E Lake St Ste 1b, Addison, Illinois |
| Authorized Official Name and Position | Wajahatuddin Macci (DIRECTOR) |
| Authorized Official Contact | 7738175928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghadeer Counseling Services Pc 211 E Lake St Ste 1b Addison IL 60101-2877 Ph: () - | Ghadeer Counseling Services Pc 211 E Lake St Ste 1b Addison IL 60101-2877 Ph: (773) 817-5928 |
| NPI Number | 1770262693 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Medicare PECOS PAC ID | 8729439914 |
|---|---|
| Medicare Enrollment ID | O20240112000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770262693 | NPI | - | NPPES |
| Provider Name | Aqeel Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046735 PECOS PAC ID: 3678535457 Enrollment ID: I20041104000952 |
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