| Aldad Medical Pc | |
|
159 N Sangamon St Ste 200&300 Chicago IL 60607-2201 | |
| (516) 505-7200 | |
| Not Available |
| Full Name | Aldad Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 159 N Sangamon St Ste 200&300, Chicago, Illinois |
| Authorized Official Name and Position | Tamir Aldad (PRESIDENT) |
| Authorized Official Contact | 5165057200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aldad Medical Pc 510 Hempstead Tpke Rm 203 West Hempstead NY 11552-1152 Ph: (516) 559-4041 | Aldad Medical Pc 159 N Sangamon St Ste 200&300 Chicago IL 60607-2201 Ph: (516) 505-7200 |
| NPI Number | 1013514447 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Medicare PECOS PAC ID | 5395152201 |
|---|---|
| Medicare Enrollment ID | O20210320000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013514447 | NPI | - | NPPES |
| 1013514447 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Aasta I Knox |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447403571 PECOS PAC ID: 6507927050 Enrollment ID: I20081203000215 |
| Provider Name | April Guilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285926 PECOS PAC ID: 8527395532 Enrollment ID: I20190814001994 |
| Provider Name | Tamir S Aldad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407207830 PECOS PAC ID: 3577817899 Enrollment ID: I20210320000102 |
| Provider Name | Esha Kacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205405644 PECOS PAC ID: 6800298373 Enrollment ID: I20210707002440 |
| Provider Name | Toba Goldfeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952857450 PECOS PAC ID: 4486048410 Enrollment ID: I20220308001422 |
| Provider Name | Lauren Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659807196 PECOS PAC ID: 2668859356 Enrollment ID: I20220518002570 |
| Provider Name | Nina Pieroni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952039935 PECOS PAC ID: 9739565573 Enrollment ID: I20221003001888 |
| Provider Name | Courtney Ann Leinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679201198 PECOS PAC ID: 8729456819 Enrollment ID: I20221121002569 |
| Provider Name | Crystal Goods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730759614 PECOS PAC ID: 7416353461 Enrollment ID: I20230209002266 |
| Provider Name | Samantha O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336848035 PECOS PAC ID: 8022473339 Enrollment ID: I20230420000514 |
| Provider Name | Sonal Jagasia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912223306 PECOS PAC ID: 3870804420 Enrollment ID: I20231010000481 |
| Provider Name | Allison Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285410845 PECOS PAC ID: 2860848827 Enrollment ID: I20231026003083 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
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K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
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