| Iatreia Mental Health Sc | |
|
1225 Richards St Joliet IL 60433-2745 | |
| (312) 554-5431 | |
| Not Available |
| Full Name | Iatreia Mental Health Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1225 Richards St, Joliet, Illinois |
| Authorized Official Name and Position | Bikram Sharma (MD/OWNER) |
| Authorized Official Contact | 7088292706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iatreia Mental Health Sc 1225 Richards St Joliet IL 60433-2745 Ph: (312) 554-5431 | Iatreia Mental Health Sc 1225 Richards St Joliet IL 60433-2745 Ph: (312) 554-5431 |
| NPI Number | 1144972860 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 2062886179 |
|---|---|
| Medicare Enrollment ID | O20230313000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144972860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Bikram Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063891232 PECOS PAC ID: 5092047100 Enrollment ID: I20191022003274 |
| Provider Name | Nicole Naglich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437805199 PECOS PAC ID: 1456730563 Enrollment ID: I20220621001387 |
| Provider Name | Corby Ryan Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639530215 PECOS PAC ID: 5799136560 Enrollment ID: I20240105000559 |
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