| Chandragupta S Vedak, MD | |
|
500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 | |
| (815) 455-7100 | |
| (815) 455-3951 |
| Full Name | Chandragupta S Vedak |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 50 Years |
| Location | 500 Coventry Ln, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871592881 | NPI | - | NPPES |
| 036070389 | Medicaid | IL | |
| 05619771 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-070389 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Entity Name | Horizons Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881692689 PECOS PAC ID: 4385531672 Enrollment ID: O20040304000369 |
| Entity Name | Rosecrance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013289446 PECOS PAC ID: 3779656582 Enrollment ID: O20130502000371 |
| Entity Name | A Safe Haven Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124206800 PECOS PAC ID: 9931455946 Enrollment ID: O20180705001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Chandragupta S Vedak, MD 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 Ph: (815) 455-7100 | Chandragupta S Vedak, MD 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 Ph: (815) 455-7100 |
Dr. Edwin Vera Gumapas, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 25 S Virginia St, Ste 201, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796 | |
Dr. Kathryn Schoenbrod, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094 | |
Jessica Wolf, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 360 Station Dr Ste 300, Crystal Lake, IL 60014 Phone: 815-455-1800 | |
Dr. Ramesh Babu Vemuri, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 145 S Virginia St, Crystal Lake, IL 60014 Phone: 815-444-9999 Fax: 815-397-2712 | |
Mrs. Mohinder Chadha, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 815-455-7100 Fax: 815-455-3951 | |
Katherine Ann Godfrey, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094 | |
Venkata C Jampala, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 815-455-7100 Fax: 815-455-3951 |