| Uic Dept Of Neurology | |
|
912 S Wood St Chicago IL 60612-4300 | |
| (312) 996-6496 | |
| Not Available |
| Full Name | Uic Dept Of Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 912 S Wood St, Chicago, Illinois |
| Authorized Official Name and Position | Kailas Sanghani (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 3124131350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uic Dept Of Neurology 7732 Solution Center Chicago IL 60677-0001 Ph: () - | Uic Dept Of Neurology 912 S Wood St Chicago IL 60612-4300 Ph: (312) 996-6496 |
| NPI Number | 1982824660 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Medicare PECOS PAC ID | 3072422716 |
|---|---|
| Medicare Enrollment ID | O20031126000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982824660 | NPI | - | NPPES |
| CG2991 | Other | IL | RAILROAD GROUP |
| 01618716 | Other | IL | BCBS |
| Provider Name | Matthew N Meriggioli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023021466 PECOS PAC ID: 6901794080 Enrollment ID: I20040309001320 |
| Provider Name | Simon Zimnowodzki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437182292 PECOS PAC ID: 4284525320 Enrollment ID: I20040320000233 |
| Provider Name | Vijaya Patil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689754186 PECOS PAC ID: 8820989874 Enrollment ID: I20040322000365 |
| Provider Name | Laura L Pedelty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578576823 PECOS PAC ID: 2961492053 Enrollment ID: I20040512000901 |
| Provider Name | Kenneth L Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891899258 PECOS PAC ID: 0446211874 Enrollment ID: I20041020000200 |
| Provider Name | Mary L Tomyanovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972694537 PECOS PAC ID: 5698727345 Enrollment ID: I20050210000854 |
| Provider Name | Martin Nicholas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730230715 PECOS PAC ID: 4880582436 Enrollment ID: I20050411000848 |
| Provider Name | Jean Marie Arzbaecher |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962612218 PECOS PAC ID: 6608801469 Enrollment ID: I20050929000857 |
| Provider Name | Steven U Brint |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336242643 PECOS PAC ID: 8527086255 Enrollment ID: I20051110000531 |
| Provider Name | Cathy M Helgason |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689776973 PECOS PAC ID: 9234146754 Enrollment ID: I20060308000550 |
| Provider Name | Kurian E Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184631087 PECOS PAC ID: 1254336605 Enrollment ID: I20060919000278 |
| Provider Name | Octavia B Kincaid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710194824 PECOS PAC ID: 4385744473 Enrollment ID: I20070702000422 |
| Provider Name | Yevgenya J Kaydanova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255344529 PECOS PAC ID: 3971696626 Enrollment ID: I20070911000582 |
| Provider Name | James L Stone |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659380343 PECOS PAC ID: 4688646979 Enrollment ID: I20080804000433 |
| Provider Name | Ferando Daniel Testai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114124278 PECOS PAC ID: 8022174192 Enrollment ID: I20090226000141 |
| Provider Name | Ahmed N Hassan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548426745 PECOS PAC ID: 8123179348 Enrollment ID: I20090630000202 |
| Provider Name | Qin Li Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417159310 PECOS PAC ID: 1951437417 Enrollment ID: I20100413000100 |
| Provider Name | Demetrios D Skias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912000233 PECOS PAC ID: 7113102765 Enrollment ID: I20110426000659 |
| Provider Name | Rita A Shapiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952410136 PECOS PAC ID: 4486830080 Enrollment ID: I20110516000862 |
| Provider Name | Neelofer Shafi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316104813 PECOS PAC ID: 3971782194 Enrollment ID: I20120517000155 |
| Provider Name | Heeren R Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982865481 PECOS PAC ID: 6901045350 Enrollment ID: I20130617000346 |
| Provider Name | Jeffrey A Loeb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200025 PECOS PAC ID: 0446263677 Enrollment ID: I20131111000205 |
| Provider Name | Woojin Song |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497165146 PECOS PAC ID: 6709002660 Enrollment ID: I20140729002762 |
| Provider Name | Farrukh Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003077900 PECOS PAC ID: 3577794023 Enrollment ID: I20150603002151 |
| Provider Name | Michael D Carrithers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073595427 PECOS PAC ID: 6406743368 Enrollment ID: I20150625001637 |
| Provider Name | Christopher G Janson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659425148 PECOS PAC ID: 8022322726 Enrollment ID: I20150807014086 |
| Provider Name | Charles Abrams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144347410 PECOS PAC ID: 3870690613 Enrollment ID: I20151215001868 |
| Provider Name | Melissa Angulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275905309 PECOS PAC ID: 8224333000 Enrollment ID: I20160217000669 |
| Provider Name | Anna Serafini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245633742 PECOS PAC ID: 8123316841 Enrollment ID: I20161013000310 |
| Provider Name | Deepa P Bhupali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962781559 PECOS PAC ID: 4880811009 Enrollment ID: I20170922003453 |
| Provider Name | Aftab Awan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316971880 PECOS PAC ID: 2860473998 Enrollment ID: I20171018003682 |
| Provider Name | Yasaman Kianirad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568759975 PECOS PAC ID: 1850697640 Enrollment ID: I20171116001410 |
| Provider Name | Brooke Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023457512 PECOS PAC ID: 3577867811 Enrollment ID: I20180807003019 |
| Provider Name | Stefania Maraka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588939045 PECOS PAC ID: 4981836574 Enrollment ID: I20180810001836 |
| Provider Name | Diana Mnatsakanova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124394127 PECOS PAC ID: 3375813611 Enrollment ID: I20180827000914 |
| Provider Name | Yara Mikhaeil-demo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427311646 PECOS PAC ID: 9436455227 Enrollment ID: I20181126003657 |
| Provider Name | Elizabeth Colleen Stiles-shields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245520246 PECOS PAC ID: 0143554493 Enrollment ID: I20190620002010 |
| Provider Name | Kristin Lucille Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467866723 PECOS PAC ID: 1052602315 Enrollment ID: I20190812002526 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235557927 PECOS PAC ID: 9032430939 Enrollment ID: I20190814000359 |
| Provider Name | Aida A Chicon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750842522 PECOS PAC ID: 3779811534 Enrollment ID: I20190819001463 |
| Provider Name | Jenna Reeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740742170 PECOS PAC ID: 4981933215 Enrollment ID: I20190911001007 |
| Provider Name | Jared Messina Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487095659 PECOS PAC ID: 5395049134 Enrollment ID: I20191122002246 |
| Provider Name | Gabriela Trifan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023403565 PECOS PAC ID: 4587974696 Enrollment ID: I20191203003143 |
| Provider Name | Pritikanta Paul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801201025 PECOS PAC ID: 6103120746 Enrollment ID: I20200707003159 |
| Provider Name | Ciro Ramos Estebanez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548407695 PECOS PAC ID: 1052582855 Enrollment ID: I20201023000233 |
| Provider Name | Huan Huynh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801280268 PECOS PAC ID: 0446554695 Enrollment ID: I20210719002233 |
| Provider Name | Julia Bodnya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770937658 PECOS PAC ID: 0648560672 Enrollment ID: I20211019001440 |
| Provider Name | Nikita Maniar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225547722 PECOS PAC ID: 5890066880 Enrollment ID: I20211230001808 |
| Provider Name | Ahmad Daher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285925016 PECOS PAC ID: 9436421484 Enrollment ID: I20220712003128 |
| Provider Name | Faten El Ammar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265985527 PECOS PAC ID: 7719275346 Enrollment ID: I20220919000996 |
| Provider Name | Shuo Qian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730610668 PECOS PAC ID: 7911276761 Enrollment ID: I20220926001865 |
| Provider Name | Mariyam Humayun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740701473 PECOS PAC ID: 0042666794 Enrollment ID: I20231101000569 |
| Provider Name | Tania Jawad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013772029 PECOS PAC ID: 0648616193 Enrollment ID: I20240307000740 |
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 |