| Peaklifemd, S.c. | |
|
1603 Orrington Ave Suite 600 Evanston IL 60201-3841 | |
| (847) 946-0855 | |
| Not Available |
| Full Name | Peaklifemd, S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1603 Orrington Ave, Evanston, Illinois |
| Authorized Official Name and Position | Utpal Dhruve (PRESIDENT) |
| Authorized Official Contact | 8479460855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaklifemd, S.c. 303 W Ohio St Unit 2007 Chicago IL 60654-7963 Ph: (847) 946-0855 | Peaklifemd, S.c. 1603 Orrington Ave Suite 600 Evanston IL 60201-3841 Ph: (847) 946-0855 |
| NPI Number | 1942628383 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942628383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036128875 (Illinois) | Primary |
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