Ki Psych | |
1990 Larkin Ave Ste 3 Elgin IL 60123-5827 | |
(630) 201-1533 | |
(636) 764-5997 |
Full Name | Ki Psych |
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Speciality | Clinic/Center |
Location | 1990 Larkin Ave Ste 3, Elgin, Illinois |
Authorized Official Name and Position | Cheryl Ischar (CEO/FOUNDER) |
Authorized Official Contact | 6302011533 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ki Psych 1990 Larkin Ave # C3 Elgin IL 60123-5827 Ph: (630) 528-0736 | Ki Psych 1990 Larkin Ave Ste 3 Elgin IL 60123-5827 Ph: (630) 201-1533 |
NPI Number | 1801534755 |
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Provider Enumeration Date | 05/21/2022 |
Last Update Date | 05/30/2023 |
Certification Date | 05/30/2023 |
Medicare PECOS PAC ID | 6507235066 |
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Medicare Enrollment ID | O20221206001660 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801534755 | NPI | - | NPPES |
1801434733 | Other | IL | PHYSICIAN SERVICES |
1801434733 | Other | IL | COMMERCIAL INSURANCE |
1801434733 | Other | IL | NURSE PRACTITIONER SERVICES |
1801434733 | Other | IL | HEALTHY KIDS SERVICES |
1801434733 | Medicaid | IL |
Provider Name | Cheryl L Ischar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801434733 PECOS PAC ID: 0244640613 Enrollment ID: I20201113002407 |
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