Luxury Psychiatry And Medical Spa | |
213 N Morgan St Unit 1d Chicago IL 60607-1721 | |
(312) 888-2986 | |
Not Available |
Full Name | Luxury Psychiatry And Medical Spa |
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Speciality | Psychiatry & Neurology |
Location | 213 N Morgan St Unit 1d, Chicago, Illinois |
Authorized Official Name and Position | Michelle L Dees (PHYSICIAN/OWNER) |
Authorized Official Contact | 3128882986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Luxury Psychiatry And Medical Spa 213 N Morgan St Unit 1d Chicago IL 60607-1721 Ph: (312) 888-2986 | Luxury Psychiatry And Medical Spa 213 N Morgan St Unit 1d Chicago IL 60607-1721 Ph: (312) 888-2986 |
NPI Number | 1467754911 |
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Provider Enumeration Date | 12/03/2010 |
Last Update Date | 01/31/2020 |
Certification Date | 01/31/2020 |
Medicare PECOS PAC ID | 5496938532 |
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Medicare Enrollment ID | O20110325000846 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467754911 | NPI | - | NPPES |
1871648642 | Other | IL | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036122459 (Illinois) | Primary |
Provider Name | Michelle L Dees |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871648642 PECOS PAC ID: 4880745884 Enrollment ID: I20090702000571 |
Provider Name | Patricia A Vowal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063832541 PECOS PAC ID: 1850516444 Enrollment ID: I20140716000972 |
Provider Name | Chiriss Mcgraw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851700637 PECOS PAC ID: 1355667809 Enrollment ID: I20150228000148 |
Provider Name | Oladimeji M Kassim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861885675 PECOS PAC ID: 8224341938 Enrollment ID: I20150723007351 |
Provider Name | Talia Nelson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336502681 PECOS PAC ID: 7416246152 Enrollment ID: I20160518002536 |
Provider Name | Yuliya Ihlitskaya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558819664 PECOS PAC ID: 7416236948 Enrollment ID: I20161128000648 |
Provider Name | Corey W Shumate |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245758580 PECOS PAC ID: 5991071714 Enrollment ID: I20171024000582 |
Provider Name | Crystal Shelly Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528559424 PECOS PAC ID: 6800141417 Enrollment ID: I20180622002236 |
Provider Name | Teslim O Opakunle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922487370 PECOS PAC ID: 9537416961 Enrollment ID: I20180717001906 |
Provider Name | Alison Casie Chruscinski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457845505 PECOS PAC ID: 8729339494 Enrollment ID: I20180919000695 |
Provider Name | Mustapha Olugbile |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184197410 PECOS PAC ID: 3971841008 Enrollment ID: I20190214001073 |
Provider Name | Raymond Bryant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609354133 PECOS PAC ID: 7911246996 Enrollment ID: I20190308002759 |
Provider Name | Olubukola E Shodiya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104456961 PECOS PAC ID: 9436574969 Enrollment ID: I20200731000303 |
Provider Name | Adebowale Oyebamiji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790385987 PECOS PAC ID: 9234541061 Enrollment ID: I20201218001057 |
Provider Name | Emmanuel Annang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336742568 PECOS PAC ID: 3971916511 Enrollment ID: I20201229000328 |
Provider Name | Oluwakemi Omotayo Aregbesola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568065514 PECOS PAC ID: 7810300480 Enrollment ID: I20201229001748 |
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