Suburban Neurologists, S.c. | |
943 N Plum Grove Rd Ste B Schaumburg IL 60173-4779 | |
(847) 952-9140 | |
(847) 952-9145 |
Full Name | Suburban Neurologists, S.c. |
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Speciality | Psychiatry & Neurology |
Location | 943 N Plum Grove Rd Ste B, Schaumburg, Illinois |
Authorized Official Name and Position | Vipan K. Gupta (PHYSICIAN) |
Authorized Official Contact | 8479529140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Suburban Neurologists, S.c. 943 N Plum Grove Rd Suite B Schaumburg IL 60173-4779 Ph: (847) 952-9140 | Suburban Neurologists, S.c. 943 N Plum Grove Rd Ste B Schaumburg IL 60173-4779 Ph: (847) 952-9140 |
NPI Number | 1356398614 |
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Provider Enumeration Date | 05/30/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8224006150 |
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Medicare Enrollment ID | O20040920000308 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356398614 | NPI | - | NPPES |
569560 | Other | IL | GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036038958 (Illinois) | Primary |
Provider Name | Vipan K Gupta |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1356393730 PECOS PAC ID: 9133184732 Enrollment ID: I20041124000169 |
Provider Name | Alkesh P Patel |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376728196 PECOS PAC ID: 5799859344 Enrollment ID: I20080731000188 |
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