| Timothy C. Hain, M.d., P.c. | |
|
645 N Michigan Ave Suite 410 Chicago IL 60611-2826 | |
| (312) 274-0197 | |
| (312) 274-0198 |
| Full Name | Timothy C. Hain, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 645 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Timothy C. Hain (PRESIDENT OWNER) |
| Authorized Official Contact | 3122740197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy C. Hain, M.d., P.c. 777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 Ph: (630) 789-2550 | Timothy C. Hain, M.d., P.c. 645 N Michigan Ave Suite 410 Chicago IL 60611-2826 Ph: (312) 274-0197 |
| NPI Number | 1801926605 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 2163491168 |
|---|---|
| Medicare Enrollment ID | O20040927000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801926605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 36059122 (Illinois) | Primary |
| Provider Name | Timothy C Hain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285620492 PECOS PAC ID: 7113996125 Enrollment ID: I20040927001060 |
| Provider Name | Marcello Cherchi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366621393 PECOS PAC ID: 7618014903 Enrollment ID: I20091019000322 |
| Provider Name | Marsha K Sorenson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275972119 PECOS PAC ID: 5496980708 Enrollment ID: I20140729000978 |
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