| Gilead Behavioral Health Services Inc | |
|
132 E 79th St Chicago IL 60619-2302 | |
| (773) 487-0515 | |
| Not Available |
| Full Name | Gilead Behavioral Health Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 132 E 79th St, Chicago, Illinois |
| Authorized Official Name and Position | Karen Yvette Douglass (PRESIDENT) |
| Authorized Official Contact | 7734870515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilead Behavioral Health Services Inc 7712 S Wabash Ave Chicago IL 60619-2321 Ph: (773) 485-0515 | Gilead Behavioral Health Services Inc 132 E 79th St Chicago IL 60619-2302 Ph: (773) 487-0515 |
| NPI Number | 1093728867 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5799887287 |
|---|---|
| Medicare Enrollment ID | O20070301000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093728867 | NPI | - | NPPES |
| Provider Name | Karen Yvette Douglass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215940069 PECOS PAC ID: 7113933060 Enrollment ID: I20060301000535 |
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