| Kovella Psychiatry, Pllc | |
|
2615 Washington St Waukegan IL 60085-4980 | |
| (855) 990-1900 | |
| Not Available |
| Full Name | Kovella Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2615 Washington St, Waukegan, Illinois |
| Authorized Official Name and Position | Deepa Nadella (PHYSICIAN) |
| Authorized Official Contact | 2482240110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kovella Psychiatry, Pllc 2385 Hybernia Dr Highland Park IL 60035-5509 Ph: (248) 224-0110 | Kovella Psychiatry, Pllc 2615 Washington St Waukegan IL 60085-4980 Ph: (855) 990-1900 |
| NPI Number | 1629709126 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 3678943446 |
|---|---|
| Medicare Enrollment ID | O20230112001498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629709126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Deepa Nadella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043749211 PECOS PAC ID: 4284031808 Enrollment ID: I20210924001400 |
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