| Venkata C Jampala, MD | |
|
500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 | |
| (815) 455-7100 | |
| (815) 455-3951 |
| Full Name | Venkata C Jampala |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 48 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 |
|---|---|---|---|
| 1235138579 | NPI | - | NPPES |
| 036063756 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036063756 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independence Health And Therapy | 2062315849 | 5 |
| Osf Healthcare System | 4284541806 | 77 |
| Entity Name | Independence Health & Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598717597 PECOS PAC ID: 2062315849 Enrollment ID: O20040129000421 |
| Entity Name | Grand Prairie Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346304979 PECOS PAC ID: 7517876691 Enrollment ID: O20041116000208 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Venkata C Jampala, MD 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 Ph: (815) 455-7100 | Venkata C Jampala, 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 |