| Neuropsychiatric Associates Of Il Sc | |
|
977 Lakeview Pkwy Suite 170 Vernon Hills IL 60061-1400 | |
| (847) 367-1611 | |
| (847) 367-4079 |
| Full Name | Neuropsychiatric Associates Of Il Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 977 Lakeview Pkwy, Vernon Hills, Illinois |
| Authorized Official Name and Position | Stephen Glick Galston (PRESIDENT) |
| Authorized Official Contact | 8473671611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychiatric Associates Of Il Sc 977 Lakeview Pkwy Suite 170 Vernon Hills IL 60061-1400 Ph: (847) 367-1611 | Neuropsychiatric Associates Of Il Sc 977 Lakeview Pkwy Suite 170 Vernon Hills IL 60061-1400 Ph: (847) 367-1611 |
| NPI Number | 1255349411 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 05/23/2013 |
| Medicare PECOS PAC ID | 4486602877 |
|---|---|
| Medicare Enrollment ID | O20050112000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255349411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-057105 (Illinois) | Primary |
| Provider Name | James S Marks |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1841305018 PECOS PAC ID: 3274581665 Enrollment ID: I20050411000789 |
| Provider Name | Stephen Galston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508939471 PECOS PAC ID: 6901854397 Enrollment ID: I20101228000748 |
| Provider Name | Dena Lynn Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841753001 PECOS PAC ID: 8820427172 Enrollment ID: I20200407003125 |
| Provider Name | Joan C Ajide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013512243 PECOS PAC ID: 7113326182 Enrollment ID: I20210524002054 |
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