| Total Care Solutions, Sc | |
|
1 Westbrook Corporate Ctr Suite 300 Westchester IL 60154-5701 | |
| (248) 894-0668 | |
| Not Available |
| Full Name | Total Care Solutions, Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Westbrook Corporate Ctr, Westchester, Illinois |
| Authorized Official Name and Position | Robert A Clemente (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 2488940668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Care Solutions, Sc 39465 W 14 Mile Rd Novi MI 48377-1600 Ph: (248) 894-0668 | Total Care Solutions, Sc 1 Westbrook Corporate Ctr Suite 300 Westchester IL 60154-5701 Ph: (248) 894-0668 |
| NPI Number | 1447550603 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 6002090933 |
|---|---|
| Medicare Enrollment ID | O20110418000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447550603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 036073598 (Illinois) | Primary |
| Provider Name | Edwin V Gumapas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033101092 PECOS PAC ID: 4981509734 Enrollment ID: I20031208000368 |
| Provider Name | Jack N Powitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558490433 PECOS PAC ID: 7012015639 Enrollment ID: I20070606000012 |
| Provider Name | Colleen A Mikula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518081686 PECOS PAC ID: 1456400761 Enrollment ID: I20090515000382 |
| Provider Name | Ronald D Gordineer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700018785 PECOS PAC ID: 9537212253 Enrollment ID: I20120111000065 |
| Provider Name | Juan Lawrence R Cabatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093184582 PECOS PAC ID: 5799094348 Enrollment ID: I20151021001538 |
| Provider Name | Marizthel Loyola Guiab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720597990 PECOS PAC ID: 4183990880 Enrollment ID: I20171025000794 |
| Provider Name | Leroy M Lambey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548754039 PECOS PAC ID: 9830448885 Enrollment ID: I20180823002743 |
| Provider Name | Dagny Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366910424 PECOS PAC ID: 1557606506 Enrollment ID: I20181219000694 |
| Provider Name | Samantha R Dotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758968 PECOS PAC ID: 9032449871 Enrollment ID: I20190923000308 |
| Provider Name | Karla Guiab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336792738 PECOS PAC ID: 1759716012 Enrollment ID: I20200114001842 |
| Provider Name | Fidelia Ujunwa Ileka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770185852 PECOS PAC ID: 3678985777 Enrollment ID: I20201215000053 |
| Provider Name | Robert Lacoste |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689618076 PECOS PAC ID: 8921996786 Enrollment ID: I20220221001814 |
| Provider Name | Diane Anderton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760124663 PECOS PAC ID: 9133500168 Enrollment ID: I20220721001652 |
| Provider Name | Olukemi Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265187520 PECOS PAC ID: 8123494622 Enrollment ID: I20221025002935 |
| Provider Name | Cawonda Ranee Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417648148 PECOS PAC ID: 3274994512 Enrollment ID: I20230802001846 |
| Provider Name | John Yong Bae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083486344 PECOS PAC ID: 0244672921 Enrollment ID: I20240527000402 |
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