Hinsdale Psychiatry Sc | |
736 N York Rd Hinsdale IL 60521-3535 | |
(630) 995-9905 | |
(630) 995-9908 |
Full Name | Hinsdale Psychiatry Sc |
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Speciality | Behavior Analyst |
Location | 736 N York Rd, Hinsdale, Illinois |
Authorized Official Name and Position | Sapana R Chokshi (PRESIDENT) |
Authorized Official Contact | 6309959905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hinsdale Psychiatry Sc P O Box 4521 Lisle IL 60532-9621 Ph: (630) 995-9905 | Hinsdale Psychiatry Sc 736 N York Rd Hinsdale IL 60521-3535 Ph: (630) 995-9905 |
NPI Number | 1285919480 |
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Provider Enumeration Date | 10/19/2011 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8426216292 |
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Medicare Enrollment ID | O20120224000397 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285919480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 036110317 (Illinois) | Primary |
Provider Name | Sapana R Chokshi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982647707 PECOS PAC ID: 1850331919 Enrollment ID: I20050509000154 |
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