| Ajay Jeetwani, MD | |
|
4 Doctors Park, Gibson City, IL 60936-2000 | |
| (217) 784-4540 | |
| (217) 784-4542 |
| Full Name | Ajay Jeetwani |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4 Doctors Park, Gibson City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205068053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036.130636 (Illinois) | Primary |
| Entity Name | Illinois Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Ajay Jeetwani, MD 4 Doctors Park, Gibson City, IL 60936-2000 Ph: (217) 784-4540 | Ajay Jeetwani, MD 4 Doctors Park, Gibson City, IL 60936-2000 Ph: (217) 784-4540 |
Christine Grundeman, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1120 N Melvin St, Gibson City, IL 60936 Phone: 217-784-4540 Fax: 217-784-4542 | |
Dr. Trilok Shah, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4 Doctors Park, Gibson City, IL 60936 Phone: 773-916-7595 | |
Benjamin Weger, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4540 | |
Ernest Miller, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4540 Fax: 217-784-4542 |