| Illiana Psychiatric Associates Inc Pc | |
|
2010 E Columbus Dr East Chicago IN 46312-2830 | |
| (219) 397-6369 | |
| (219) 440-7240 |
| Full Name | Illiana Psychiatric Associates Inc Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2010 E Columbus Dr, East Chicago, Indiana |
| Authorized Official Name and Position | Farzana A Khan (PRESIDENT) |
| Authorized Official Contact | 2194558155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Illiana Psychiatric Associates Inc Pc 4320 Fir St Suite 307 East Chicago IN 46312-3052 Ph: (219) 397-6369 | Illiana Psychiatric Associates Inc Pc 2010 E Columbus Dr East Chicago IN 46312-2830 Ph: (219) 397-6369 |
| NPI Number | 1811291248 |
|---|---|
| Provider Enumeration Date | 12/28/2010 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 6204002439 |
|---|---|
| Medicare Enrollment ID | O20120110000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811291248 | NPI | - | NPPES |
| 100325130A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 01038685 (Indiana) | Primary |
| Provider Name | Farzana A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114965084 PECOS PAC ID: 7113193350 Enrollment ID: I20120110000497 |
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 | |
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 | |
Illiana Psychiatric Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 E Columbus Dr, East Chicago, IN 46312 Phone: 219-397-6369 | |
Teens In Action, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1015 E 149th St, East Chicago, IN 46312 Phone: 219-397-5117 |