| Pradeep Thapar, Md.sc | |
|
10745 165th St Orland Park IL 60467-8713 | |
| (708) 799-8384 | |
| (708) 799-1305 |
| Full Name | Pradeep Thapar, Md.sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10745 165th St, Orland Park, Illinois |
| Authorized Official Name and Position | Pradeep Thapar (OWNER) |
| Authorized Official Contact | 7087998384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pradeep Thapar, Md.sc 10745 165th St Orland Park IL 60467-8713 Ph: (708) 799-8384 | Pradeep Thapar, Md.sc 10745 165th St Orland Park IL 60467-8713 Ph: (708) 799-8384 |
| NPI Number | 1598975781 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Medicare PECOS PAC ID | 7416859897 |
|---|---|
| Medicare Enrollment ID | O20040126000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598975781 | NPI | - | NPPES |
| Provider Name | Pradeep Thapar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891889812 PECOS PAC ID: 9133021520 Enrollment ID: I20040203000508 |
| Provider Name | Anita K Mcgruder Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417017138 PECOS PAC ID: 2567490394 Enrollment ID: I20050802000543 |
| Provider Name | Oliver M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861779795 PECOS PAC ID: 7012176548 Enrollment ID: I20120301000919 |
| Provider Name | Nitin Thapar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780927483 PECOS PAC ID: 8527369891 Enrollment ID: I20151222001349 |
| Provider Name | Kelley Mckeever |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275087405 PECOS PAC ID: 7517252240 Enrollment ID: I20160819001790 |
| Provider Name | Lisamarie F Ruffolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801329743 PECOS PAC ID: 1658640263 Enrollment ID: I20170712003431 |
| Provider Name | Jessica Summer Radavich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740705912 PECOS PAC ID: 9032485222 Enrollment ID: I20171016000914 |
| Provider Name | Stephanie M Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275072308 PECOS PAC ID: 9931486891 Enrollment ID: I20180103000528 |
| Provider Name | Lauren Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750881918 PECOS PAC ID: 5597097618 Enrollment ID: I20191023000043 |
| Provider Name | Matthew Fazendin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215560560 PECOS PAC ID: 5193146348 Enrollment ID: I20200527000281 |
| Provider Name | James R Belanger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851824908 PECOS PAC ID: 9931514171 Enrollment ID: I20210219001769 |
| Provider Name | Colin B Schofield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205408069 PECOS PAC ID: 6709283146 Enrollment ID: I20210927003465 |
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