Psychiatry Specialists P.c. | |
4535 N Beacon St Chicago IL 60640-5518 | |
(773) 629-0716 | |
Not Available |
Full Name | Psychiatry Specialists P.c. |
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Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 4535 N Beacon St, Chicago, Illinois |
Authorized Official Name and Position | Stacy Cloyd (SECRETARY) |
Authorized Official Contact | 9046054986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychiatry Specialists P.c. 4535 N Beacon St Chicago IL 60640-5518 Ph: (773) 629-0716 | Psychiatry Specialists P.c. 4535 N Beacon St Chicago IL 60640-5518 Ph: (773) 629-0716 |
NPI Number | 1730468307 |
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Provider Enumeration Date | 08/12/2011 |
Last Update Date | 06/19/2023 |
Certification Date | 06/19/2023 |
Medicare PECOS PAC ID | 8224357868 |
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Medicare Enrollment ID | O20150504002093 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730468307 | NPI | - | NPPES |
1700042454 | Other | IL | NPI 1700042454 |
Provider Name | Guy U Motanky |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1902077654 PECOS PAC ID: 9638068299 Enrollment ID: I20040311001370 |
Provider Name | David L Downing |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649339573 PECOS PAC ID: 3072576230 Enrollment ID: I20041109000154 |
Provider Name | Kimball H Ladien |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629021787 PECOS PAC ID: 6103918115 Enrollment ID: I20070822001063 |
Provider Name | Garth W Amundson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629133996 PECOS PAC ID: 2668548439 Enrollment ID: I20080911000592 |
Provider Name | Richelle Marie Strauss |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700042454 PECOS PAC ID: 8527114115 Enrollment ID: I20090923000548 |
Provider Name | Alexander Morrill |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932374873 PECOS PAC ID: 0941335152 Enrollment ID: I20100312000719 |
Provider Name | Shivkumar Pandian |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578726253 PECOS PAC ID: 3476626268 Enrollment ID: I20130225000125 |
Provider Name | Margarita Kos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477974525 PECOS PAC ID: 4789817099 Enrollment ID: I20140512000379 |
Provider Name | Marcialee Ledbetter |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164492567 PECOS PAC ID: 0840288445 Enrollment ID: I20170414000483 |
Provider Name | Michel Medina |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558743922 PECOS PAC ID: 6709180474 Enrollment ID: I20180321001437 |
Provider Name | Babatunde Ogundipe |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497911267 PECOS PAC ID: 7315292331 Enrollment ID: I20180628002908 |
Provider Name | Ronald H Rempfer |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720083348 PECOS PAC ID: 7911962634 Enrollment ID: I20181108002385 |
Provider Name | Louisa Olushoga |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386025088 PECOS PAC ID: 2163726829 Enrollment ID: I20190806001349 |
Provider Name | Hao Cheng |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932630993 PECOS PAC ID: 0941571772 Enrollment ID: I20191112001797 |
Provider Name | Stephanie Kapa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588201719 PECOS PAC ID: 1759716533 Enrollment ID: I20200124001786 |
Provider Name | Kathleen M Young |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104392380 PECOS PAC ID: 7911332655 Enrollment ID: I20200127001422 |
Provider Name | Na'ama Adam Wasserman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1790325744 PECOS PAC ID: 8527483544 Enrollment ID: I20200806003142 |
Provider Name | Anish Desai |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760831713 PECOS PAC ID: 6204122351 Enrollment ID: I20200928003191 |
Provider Name | Mai Nguyen |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225491954 PECOS PAC ID: 9032404637 Enrollment ID: I20200929000190 |
Provider Name | Justin C Lam |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265894786 PECOS PAC ID: 0143502492 Enrollment ID: I20200929000208 |
Provider Name | Maria Siena H May |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760018733 PECOS PAC ID: 2062832033 Enrollment ID: I20201013000311 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |