| Illiana Psychiatric Associates | |
|
2010 E Columbus Dr East Chicago IN 46312-2830 | |
| (219) 397-6369 | |
| Not Available |
| Full Name | Illiana Psychiatric Associates |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 2010 E Columbus Dr, East Chicago, Indiana |
| Authorized Official Name and Position | Farzana A Khan (CEO) |
| Authorized Official Contact | 2193976369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illiana Psychiatric Associates 4320 Fir St Suite 307 East Chicago IN 46312-3052 Ph: (219) 455-8155 | Illiana Psychiatric Associates 2010 E Columbus Dr East Chicago IN 46312-2830 Ph: (219) 397-6369 |
| NPI Number | 1932441631 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 06/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932441631 | NPI | - | NPPES |
| 100325130 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 1038685 (Indiana) | Primary |
Graciela E. Hernandez Medical Corporation P C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4320 Fir Street, East Chicago, IN 46312 Phone: 219-397-2929 Fax: 219-397-2929 | |
St Catherine Hospital Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-1700 Fax: 219-934-8889 | |
Family Life Consultants, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Chicago Ave, East Chicago, IN 46312 Phone: 219-392-3701 | |
Illiana Psychiatric Associates Inc Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2010 E Columbus Dr, East Chicago, IN 46312 Phone: 219-397-6369 Fax: 219-440-7240 | |
Catholic Charities Diocese Of Gary Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 Fir St, East Chicago, IN 46312 Phone: 219-397-5803 | |
Teens In Action, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1015 E 149th St, East Chicago, IN 46312 Phone: 219-397-5117 |