| University Neurologists | |
|
1725 W Harrison St Number 1118 University Neurologists Chicago IL 60612-3841 | |
| (312) 942-5936 | |
| (312) 563-4155 |
| Full Name | University Neurologists |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1725 W Harrison St, Chicago, Illinois |
| Authorized Official Name and Position | Brian Smith (VICE PRESIDENT) |
| Authorized Official Contact | 3129426909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Neurologists 1725 W Harrison St Number 1106 University Neurologists Chicago IL 60612-3841 Ph: (312) 942-4500 | University Neurologists 1725 W Harrison St Number 1118 University Neurologists Chicago IL 60612-3841 Ph: (312) 942-5936 |
| NPI Number | 1700872355 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 10/27/2014 |
| Medicare PECOS PAC ID | 6709774987 |
|---|---|
| Medicare Enrollment ID | O20040309000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700872355 | NPI | - | NPPES |
| 01618242 | Other | IL | BC GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Madhu Soni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710922570 PECOS PAC ID: 6406755644 Enrollment ID: I20040107000149 |
| Provider Name | Christopher G Goetz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124004585 PECOS PAC ID: 0042108128 Enrollment ID: I20040309001286 |
| Provider Name | Matthew N Meriggioli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023021466 PECOS PAC ID: 6901794080 Enrollment ID: I20040309001320 |
| Provider Name | Aikaterini Kompoliti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295712545 PECOS PAC ID: 3870481955 Enrollment ID: I20040309001346 |
| Provider Name | Michael A Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558329086 PECOS PAC ID: 8224926316 Enrollment ID: I20040309001368 |
| Provider Name | Leonard Verhagen Metman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841276201 PECOS PAC ID: 5395633408 Enrollment ID: I20040310000031 |
| Provider Name | Robert B Wright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821013483 PECOS PAC ID: 1456249564 Enrollment ID: I20040310000055 |
| Provider Name | Michael C Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285620617 PECOS PAC ID: 1355239369 Enrollment ID: I20040310000073 |
| Provider Name | Jordan L Topel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053348144 PECOS PAC ID: 4981593894 Enrollment ID: I20040310001324 |
| Provider Name | Dusan Stefoski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376521724 PECOS PAC ID: 6800785726 Enrollment ID: I20040310001393 |
| Provider Name | Antoaneta Y Balabanov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770578304 PECOS PAC ID: 3779472691 Enrollment ID: I20040310001417 |
| Provider Name | Bryan A Bernard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992782247 PECOS PAC ID: 4789573619 Enrollment ID: I20040310001496 |
| Provider Name | Deborah S Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194734863 PECOS PAC ID: 9830088772 Enrollment ID: I20040325000235 |
| Provider Name | Laura G Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295767960 PECOS PAC ID: 0244211670 Enrollment ID: I20040805000241 |
| Provider Name | Megan Shanks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912945692 PECOS PAC ID: 5092771741 Enrollment ID: I20041206000179 |
| Provider Name | Melany Danehy |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1952387318 PECOS PAC ID: 2264482264 Enrollment ID: I20050127000484 |
| Provider Name | Lawrence P Bernstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649339151 PECOS PAC ID: 7911939087 Enrollment ID: I20050909000259 |
| Provider Name | Nina A Paleologos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689733552 PECOS PAC ID: 3274565353 Enrollment ID: I20050909000370 |
| Provider Name | Rima Mahmoud Dafer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407939846 PECOS PAC ID: 3375564875 Enrollment ID: I20051213000110 |
| Provider Name | Roumen D Balabanov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508817941 PECOS PAC ID: 0446266803 Enrollment ID: I20060223000050 |
| Provider Name | Marvin A Rossi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275529091 PECOS PAC ID: 5496750739 Enrollment ID: I20060920000367 |
| Provider Name | Marlise Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104835495 PECOS PAC ID: 7012089519 Enrollment ID: I20080627000359 |
| Provider Name | Brandon R Barton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174715486 PECOS PAC ID: 4486728870 Enrollment ID: I20080802000032 |
| Provider Name | Sayona John |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528031846 PECOS PAC ID: 6507864600 Enrollment ID: I20080905000356 |
| Provider Name | Deborah M Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346441490 PECOS PAC ID: 9335299973 Enrollment ID: I20090602000708 |
| Provider Name | Deborah A Hall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952410334 PECOS PAC ID: 2062462849 Enrollment ID: I20090623000578 |
| Provider Name | James J Conners |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346406253 PECOS PAC ID: 8426109331 Enrollment ID: I20090706000097 |
| Provider Name | Kelly E Rimawi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720215783 PECOS PAC ID: 4587710140 Enrollment ID: I20090923000297 |
| Provider Name | Eve A Escalante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073844593 PECOS PAC ID: 6507994381 Enrollment ID: I20100514000851 |
| Provider Name | Jennifer G Goldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366428724 PECOS PAC ID: 8527197060 Enrollment ID: I20100521000626 |
| Provider Name | Kelly Jo Kulagin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427213388 PECOS PAC ID: 6002008885 Enrollment ID: I20101012000755 |
| Provider Name | Rajeev K Garg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760648760 PECOS PAC ID: 6507059698 Enrollment ID: I20101021000590 |
| Provider Name | Tracy K. Brunetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912133596 PECOS PAC ID: 4486848835 Enrollment ID: I20101030000050 |
| Provider Name | Theresa E Towle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639486137 PECOS PAC ID: 0648468207 Enrollment ID: I20101223000043 |
| Provider Name | Ligia N Rioja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700871787 PECOS PAC ID: 8224032057 Enrollment ID: I20110216000136 |
| Provider Name | Cynthia Ann Hinojosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548578339 PECOS PAC ID: 2961670856 Enrollment ID: I20110720000345 |
| Provider Name | Aimee J Szewka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679729883 PECOS PAC ID: 2466576681 Enrollment ID: I20110802000321 |
| Provider Name | Adriana C Bermeo Ovalle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619183852 PECOS PAC ID: 1557531738 Enrollment ID: I20110825000279 |
| Provider Name | Suzanne Elizabeth Shane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291434 PECOS PAC ID: 8123293081 Enrollment ID: I20111205000905 |
| Provider Name | Sarah Young-mi Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760633606 PECOS PAC ID: 6507997632 Enrollment ID: I20120821000738 |
| Provider Name | Fiona A. Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275879736 PECOS PAC ID: 7113162017 Enrollment ID: I20130325000528 |
| Provider Name | Jonathan Cheponis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720214265 PECOS PAC ID: 9032358270 Enrollment ID: I20130618000808 |
| Provider Name | Gian Dev Pal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629239371 PECOS PAC ID: 1951541028 Enrollment ID: I20130712000711 |
| Provider Name | Laurel J Cherian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548423791 PECOS PAC ID: 3870733827 Enrollment ID: I20130716000101 |
| Provider Name | Sebastian W Pollandt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376732644 PECOS PAC ID: 2860630647 Enrollment ID: I20130827000904 |
| Provider Name | Maggie Lynn Mcnulty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376709022 PECOS PAC ID: 7113161159 Enrollment ID: I20130913000192 |
| Provider Name | Saju Abraham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528191756 PECOS PAC ID: 0446428734 Enrollment ID: I20131212000774 |
| Provider Name | Rabia Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184889156 PECOS PAC ID: 9931341807 Enrollment ID: I20140828000847 |
| Provider Name | Malathi Shivaji Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265694525 PECOS PAC ID: 2567603293 Enrollment ID: I20141001002824 |
| Provider Name | Lindsay R Rademacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144622705 PECOS PAC ID: 4789806605 Enrollment ID: I20141110001285 |
| Provider Name | Sarah L Livesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770831232 PECOS PAC ID: 0749437374 Enrollment ID: I20150630002565 |
| Provider Name | Carrie Katherine Grouse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457670028 PECOS PAC ID: 6204141989 Enrollment ID: I20150811004374 |
| Provider Name | Neha Morparia Kramer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841428091 PECOS PAC ID: 1052445145 Enrollment ID: I20150908001122 |
| Provider Name | Milena Stosic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477844082 PECOS PAC ID: 6800103284 Enrollment ID: I20150917000500 |
| Provider Name | Simran K Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811131055 PECOS PAC ID: 8527376656 Enrollment ID: I20151008002817 |
| Provider Name | Evan Ray Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801393 PECOS PAC ID: 1254640840 Enrollment ID: I20151022000009 |
| Provider Name | Cynthia K Dendrinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457789034 PECOS PAC ID: 3476781287 Enrollment ID: I20151113000834 |
| Provider Name | Michele Packard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710246418 PECOS PAC ID: 5890096523 Enrollment ID: I20151222000650 |
| Provider Name | Igor J Koralnik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770525578 PECOS PAC ID: 2668539941 Enrollment ID: I20160628002491 |
| Provider Name | Nicholas D Osteraas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790071553 PECOS PAC ID: 4082905674 Enrollment ID: I20160629002172 |
| Provider Name | Ryan D Jacobson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790074425 PECOS PAC ID: 2365750262 Enrollment ID: I20160712000954 |
| Provider Name | Rebecca Odwyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093004491 PECOS PAC ID: 0345467007 Enrollment ID: I20160818000675 |
| Provider Name | Ivan Rocha Ferreira Da Silva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356654735 PECOS PAC ID: 1658650650 Enrollment ID: I20161115001757 |
| Provider Name | Julia Goldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013460930 PECOS PAC ID: 7517246424 Enrollment ID: I20161117000836 |
| Provider Name | Jean M. Slana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154796902 PECOS PAC ID: 5799089918 Enrollment ID: I20170118002025 |
| Provider Name | Savannah Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093175994 PECOS PAC ID: 0648547380 Enrollment ID: I20170530002119 |
| Provider Name | Starane Shepherd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922391523 PECOS PAC ID: 8527375336 Enrollment ID: I20170707000584 |
| Provider Name | Alejandro Vargas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255698445 PECOS PAC ID: 7517277668 Enrollment ID: I20170712002223 |
| Provider Name | Lauren M Koffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346531282 PECOS PAC ID: 2062726276 Enrollment ID: I20170721001541 |
| Provider Name | Kathryn Elizabeth Cheponis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033478839 PECOS PAC ID: 6204127319 Enrollment ID: I20170804002749 |
| Provider Name | Matthew Wodziak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730440116 PECOS PAC ID: 5193948578 Enrollment ID: I20170808000408 |
| Provider Name | Joo Yeon Nam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750675187 PECOS PAC ID: 0749551836 Enrollment ID: I20170808002496 |
| Provider Name | Fabian Sierra Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992060271 PECOS PAC ID: 3971896796 Enrollment ID: I20170823000697 |
| Provider Name | Meagan O'brien Bailey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699066696 PECOS PAC ID: 3375838840 Enrollment ID: I20170913000369 |
| Provider Name | Ana M Tavarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346770492 PECOS PAC ID: 8426322793 Enrollment ID: I20170926000639 |
| Provider Name | Jori E Fleisher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073776530 PECOS PAC ID: 1456673391 Enrollment ID: I20171016001029 |
| Provider Name | Christopher Muth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700105970 PECOS PAC ID: 6507083136 Enrollment ID: I20171019001325 |
| Provider Name | Kevin E. Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097380 PECOS PAC ID: 1759647464 Enrollment ID: I20171114001122 |
| Provider Name | Andrew K Dorsch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104960517 PECOS PAC ID: 2668503707 Enrollment ID: I20171121002290 |
| Provider Name | Amar Bharat Bhatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699930818 PECOS PAC ID: 5193980415 Enrollment ID: I20171213000934 |
| Provider Name | Melissa L Budahazy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851818462 PECOS PAC ID: 1951669084 Enrollment ID: I20171219003051 |
| Provider Name | Racheal N Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750882742 PECOS PAC ID: 5799040762 Enrollment ID: I20180522000069 |
| Provider Name | Carrie Ann Picchietti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720578925 PECOS PAC ID: 9234484460 Enrollment ID: I20180612001843 |
| Provider Name | Natalie P Witek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760725469 PECOS PAC ID: 9335431972 Enrollment ID: I20180724001925 |
| Provider Name | Thomas Jack Shoemaker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629335450 PECOS PAC ID: 1658664487 Enrollment ID: I20180806000459 |
| Provider Name | Iulia Maria Dorneanu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851633101 PECOS PAC ID: 7315257250 Enrollment ID: I20180810000047 |
| Provider Name | Mitra Afshari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285998237 PECOS PAC ID: 6305130105 Enrollment ID: I20180823001011 |
| Provider Name | Glenn Thruston Stebbins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356460984 PECOS PAC ID: 0042554529 Enrollment ID: I20181211000708 |
| Provider Name | Mohammad Daaif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720271331 PECOS PAC ID: 1850565714 Enrollment ID: I20190502000997 |
| Provider Name | Laurie K Sabol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992241327 PECOS PAC ID: 6204168586 Enrollment ID: I20191106001809 |
| Provider Name | Alana Elizabeth Kirby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164865200 PECOS PAC ID: 1658627021 Enrollment ID: I20200807001246 |
| Provider Name | Gregory George Fenton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295115079 PECOS PAC ID: 3476843434 Enrollment ID: I20200917002718 |
| Provider Name | Chandler Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548688716 PECOS PAC ID: 8628378635 Enrollment ID: I20200929001104 |
| Provider Name | Victor German Patron Romero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356723811 PECOS PAC ID: 8022308501 Enrollment ID: I20201019001742 |
| Provider Name | Tresa Elizabeth Zacharias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366838708 PECOS PAC ID: 4688909989 Enrollment ID: I20201021000338 |
| Provider Name | Adrienne E Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902416829 PECOS PAC ID: 3870903891 Enrollment ID: I20201103001900 |
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 |