| Midwest Mind Care Pllc | |
|
3 Trenton Ct South Barrington IL 60010-9596 | |
| (304) 906-5276 | |
| (877) 892-7421 |
| Full Name | Midwest Mind Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3 Trenton Ct, South Barrington, Illinois |
| Authorized Official Name and Position | Vikramjit Gill (OWNER) |
| Authorized Official Contact | 3049065276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Mind Care Pllc 3 Trenton Ct South Barrington IL 60010-9596 Ph: (304) 906-5276 | Midwest Mind Care Pllc 3 Trenton Ct South Barrington IL 60010-9596 Ph: (304) 906-5276 |
| NPI Number | 1437551546 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Medicare PECOS PAC ID | 0648492710 |
|---|---|
| Medicare Enrollment ID | O20141106000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437551546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036124581 (Illinois) | Primary |
| Provider Name | Pollyanna C Vujovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437137221 PECOS PAC ID: 5395806855 Enrollment ID: I20100626000163 |
| Provider Name | Vikramjit S Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639227374 PECOS PAC ID: 0345343729 Enrollment ID: I20141106000101 |
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