| Sunrise Behavioral Health Llc | |
|
477 E Butterfield Rd Unit 3062a Lombard IL 60148-5618 | |
| (847) 749-5728 | |
| Not Available |
| Full Name | Sunrise Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 477 E Butterfield Rd Unit 3062a, Lombard, Illinois |
| Authorized Official Name and Position | Jamsheed Khan (PRESIDENT) |
| Authorized Official Contact | 8477495728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Behavioral Health Llc Po Box 5310 Villa Park IL 60181-5301 Ph: (847) 749-5728 | Sunrise Behavioral Health Llc 477 E Butterfield Rd Unit 3062a Lombard IL 60148-5618 Ph: (847) 749-5728 |
| NPI Number | 1285387985 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Medicare PECOS PAC ID | 0941689491 |
|---|---|
| Medicare Enrollment ID | O20220614001326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285387985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jamsheed H Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578850277 PECOS PAC ID: 6002133261 Enrollment ID: I20220614001555 |
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