| Rassik Complete Recovery Inc | |
|
1155 Cedar Ct Carbondale IL 62901-5333 | |
| (618) 490-1045 | |
| (618) 319-1279 |
| Full Name | Rassik Complete Recovery Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1155 Cedar Ct, Carbondale, Illinois |
| Authorized Official Name and Position | Anita Chandra (VICE PRESIDENT) |
| Authorized Official Contact | 6183035360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rassik Complete Recovery Inc 1155 Cedar Ct Carbondale IL 62901-5333 Ph: (618) 490-1045 | Rassik Complete Recovery Inc 1155 Cedar Ct Carbondale IL 62901-5333 Ph: (618) 490-1045 |
| NPI Number | 1720791437 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Medicare PECOS PAC ID | 5395110472 |
|---|---|
| Medicare Enrollment ID | O20230403000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720791437 | NPI | - | NPPES |
| Provider Name | Monica L Nagele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093387854 PECOS PAC ID: 5193121374 Enrollment ID: I20230403000748 |
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