Comfort Psychiatric Services Inc | |
23035 Anna Ln Frankfort IL 60423-9244 | |
(708) 382-1659 | |
Not Available |
Full Name | Comfort Psychiatric Services Inc |
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Speciality | Clinic/Center |
Location | 23035 Anna Ln, Frankfort, Illinois |
Authorized Official Name and Position | Omolola O Adeyemi (PRESIDENT) |
Authorized Official Contact | 7083821659 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comfort Psychiatric Services Inc 23035 Anna Ln Frankfort IL 60423-9244 Ph: () - | Comfort Psychiatric Services Inc 23035 Anna Ln Frankfort IL 60423-9244 Ph: (708) 382-1659 |
NPI Number | 1447025275 |
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Provider Enumeration Date | 11/21/2023 |
Last Update Date | 11/21/2023 |
Medicare PECOS PAC ID | 7012459753 |
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Medicare Enrollment ID | O20240610000627 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447025275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Omolola Adeyemi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689389629 PECOS PAC ID: 1456706837 Enrollment ID: I20231005001845 |
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