| Vital Balance Psychiatry Pllc | |
|
1100 Central Ave Unit F-3 Wilmette IL 60091-2666 | |
| (312) 600-8533 | |
| Not Available |
| Full Name | Vital Balance Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1100 Central Ave Unit F-3, Wilmette, Illinois |
| Authorized Official Name and Position | Gabriel Heiber (MD) |
| Authorized Official Contact | 3126008533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Balance Psychiatry Pllc 1100 Central Ave Unit F-3 Wilmette IL 60091-2666 Ph: () - | Vital Balance Psychiatry Pllc 1100 Central Ave Unit F-3 Wilmette IL 60091-2666 Ph: (312) 600-8533 |
| NPI Number | 1679253140 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Medicare PECOS PAC ID | 4688029101 |
|---|---|
| Medicare Enrollment ID | O20231018001253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679253140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gabriel J Heiber Bendayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679991160 PECOS PAC ID: 6406139054 Enrollment ID: I20190812003844 |
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