| Neuropsychiatric Services Sc | |
|
1044 N Francisco Ave Ste 403 Chicago IL 60622-2743 | |
| (847) 212-9809 | |
| Not Available |
| Full Name | Neuropsychiatric Services Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1044 N Francisco Ave Ste 403, Chicago, Illinois |
| Authorized Official Name and Position | Jacinto Antonio V Dizon (PRESIDENT) |
| Authorized Official Contact | 8472129809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychiatric Services Sc 1211 S Prairie Ave Suite 5505 Chicago IL 60605-3645 Ph: (847) 212-9809 | Neuropsychiatric Services Sc 1044 N Francisco Ave Ste 403 Chicago IL 60622-2743 Ph: (847) 212-9809 |
| NPI Number | 1518131002 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Medicare PECOS PAC ID | 3779542287 |
|---|---|
| Medicare Enrollment ID | O20041008000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518131002 | NPI | - | NPPES |
| 36085219 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036085219 (Illinois) | Primary |
| Provider Name | Jacinto V Dizon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669510954 PECOS PAC ID: 1557320066 Enrollment ID: I20041011000025 |
| Provider Name | Alexander Medvedev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588893101 PECOS PAC ID: 6709053952 Enrollment ID: I20120111000830 |
| Provider Name | Mary Murad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770070013 PECOS PAC ID: 1254689219 Enrollment ID: I20180807003532 |
| Provider Name | Alexandre E Cupler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184247389 PECOS PAC ID: 0446612998 Enrollment ID: I20230815002160 |
| Provider Name | Ghulam Mujtaba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881213593 PECOS PAC ID: 8527415702 Enrollment ID: I20231109000856 |
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