| Southeast Chicago Neurology Associates Sc | |
|
2850 S Wabash Ave Suite 102 Chicago IL 60616-2955 | |
| (312) 496-3488 | |
| Not Available |
| Full Name | Southeast Chicago Neurology Associates Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2850 S Wabash Ave, Chicago, Illinois |
| Authorized Official Name and Position | Anil Gulati (OWNER) |
| Authorized Official Contact | 3124963488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Chicago Neurology Associates Sc 2850 S Wabash Ave Suite 102 Chicago IL 60616-2955 Ph: () - | Southeast Chicago Neurology Associates Sc 2850 S Wabash Ave Suite 102 Chicago IL 60616-2955 Ph: (312) 496-3488 |
| NPI Number | 1073979761 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/11/2016 |
| Medicare PECOS PAC ID | 9739482910 |
|---|---|
| Medicare Enrollment ID | O20160121001466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073979761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Anil K Gulati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003899428 PECOS PAC ID: 6901861657 Enrollment ID: I20041123000018 |
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 |