M. Imani & P. Imani, M.d., S.c. | |
2959 S. Cottage Grove Ave. Chicago IL 60616 | |
(312) 759-8200 | |
(773) 751-2250 |
Full Name | M. Imani & P. Imani, M.d., S.c. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2959 S. Cottage Grove Ave., Chicago, Illinois |
Authorized Official Name and Position | Pouran Imani (OWNER) |
Authorized Official Contact | 3126411156 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M. Imani & P. Imani, M.d., S.c. 130 N Garland Ct Suite 2605 Chicago IL 60602-4750 Ph: (312) 641-1156 | M. Imani & P. Imani, M.d., S.c. 2959 S. Cottage Grove Ave. Chicago IL 60616 Ph: (312) 759-8200 |
NPI Number | 1649353830 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649353830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
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