| Advanced Neuropsychiatric Services Of Northwest Indiana, Llc | |
|
419 Ridge Rd Ste E Munster IN 46321-1535 | |
| (630) 728-6247 | |
| Not Available |
| Full Name | Advanced Neuropsychiatric Services Of Northwest Indiana, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 419 Ridge Rd Ste E, Munster, Indiana |
| Authorized Official Name and Position | Joseph G Fanelli (DIRECTOR) |
| Authorized Official Contact | 6307286247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neuropsychiatric Services Of Northwest Indiana, Llc 493 S Parkside Ave Elmhurst IL 60126-3935 Ph: (630) 728-6247 | Advanced Neuropsychiatric Services Of Northwest Indiana, Llc 419 Ridge Rd Ste E Munster IN 46321-1535 Ph: (630) 728-6247 |
| NPI Number | 1568181998 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 04/02/2025 |
| Certification Date | 04/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568181998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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