| Sr Psychiatric Ltd | |
|
3510 Hobson Rd Suite 305 Woodridge IL 60517-1439 | |
| (630) 515-1050 | |
| (630) 515-1051 |
| Full Name | Sr Psychiatric Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3510 Hobson Rd, Woodridge, Illinois |
| Authorized Official Name and Position | Nagamani P Reddy (PHYSICIAN) |
| Authorized Official Contact | 6305151050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sr Psychiatric Ltd 3510 Hobson Rd Ste 305 Woodridge IL 60517-1442 Ph: (630) 515-1050 | Sr Psychiatric Ltd 3510 Hobson Rd Suite 305 Woodridge IL 60517-1439 Ph: (630) 515-1050 |
| NPI Number | 1548346174 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 2264593649 |
|---|---|
| Medicare Enrollment ID | O20081203000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548346174 | NPI | - | NPPES |
| 036075583 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nagamani P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912978081 PECOS PAC ID: 5496747370 Enrollment ID: I20040331001306 |
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