| Avicenna Behavioral Health, Llc | |
|
920 N York Rd Ste 200 Hinsdale IL 60521-8626 | |
| (312) 607-5468 | |
| Not Available |
| Full Name | Avicenna Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 920 N York Rd Ste 200, Hinsdale, Illinois |
| Authorized Official Name and Position | Iyad M Alkhouri (PARTNER) |
| Authorized Official Contact | 3126075468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avicenna Behavioral Health, Llc 920 N York Rd Ste 200 Hinsdale IL 60521-8626 Ph: (312) 607-5468 | Avicenna Behavioral Health, Llc 920 N York Rd Ste 200 Hinsdale IL 60521-8626 Ph: (312) 607-5468 |
| NPI Number | 1962067520 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 10/08/2019 |
| Medicare PECOS PAC ID | 4789018862 |
|---|---|
| Medicare Enrollment ID | O20191224000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962067520 | NPI | - | NPPES |
| Provider Name | Iyad M Alkhouri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952328940 PECOS PAC ID: 3678568219 Enrollment ID: I20110504000088 |
| Provider Name | Majed Dalloul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922328426 PECOS PAC ID: 4880835578 Enrollment ID: I20140418000072 |
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