| West Suburban Multi-specialty Medical Services Association Sc | |
|
386 N York Rd Suite 100 Elmhurst IL 60126-2363 | |
| (630) 834-1557 | |
| Not Available |
| Full Name | West Suburban Multi-specialty Medical Services Association Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 386 N York Rd, Elmhurst, Illinois |
| Authorized Official Name and Position | Timothy Cullinane (PRESIDENT) |
| Authorized Official Contact | 6308341557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Suburban Multi-specialty Medical Services Association Sc 386 N York Rd Suite 100 Elmhurst IL 60126-2363 Ph: () - | West Suburban Multi-specialty Medical Services Association Sc 386 N York Rd Suite 100 Elmhurst IL 60126-2363 Ph: (630) 834-1557 |
| NPI Number | 1558300954 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 07/26/2013 |
| Medicare PECOS PAC ID | 8325007917 |
|---|---|
| Medicare Enrollment ID | O20041008000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558300954 | NPI | - | NPPES |
| Provider Name | Eugene Kwon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760425276 PECOS PAC ID: 7810923851 Enrollment ID: I20050712000406 |
| Provider Name | Sandra B Eckhavs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780622456 PECOS PAC ID: 5092742999 Enrollment ID: I20050722000173 |
| Provider Name | Timothy M Cullinane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255376232 PECOS PAC ID: 9931168523 Enrollment ID: I20100327000186 |
| Provider Name | Mary B Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740335975 PECOS PAC ID: 3476834839 Enrollment ID: I20161227001688 |
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