| Center For Brain And Nerve Disorders S.c. | |
|
10723 Winterset Dr Orland Park IL 60467-1106 | |
| (708) 675-7110 | |
| (708) 310-3430 |
| Full Name | Center For Brain And Nerve Disorders S.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10723 Winterset Dr, Orland Park, Illinois |
| Authorized Official Name and Position | Sreepathy Kannan (PRESIDENT) |
| Authorized Official Contact | 6302581499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Brain And Nerve Disorders S.c. 8s323 Hampton Cir Naperville IL 60540-9322 Ph: (708) 675-7110 | Center For Brain And Nerve Disorders S.c. 10723 Winterset Dr Orland Park IL 60467-1106 Ph: (708) 675-7110 |
| NPI Number | 1508299611 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 12/23/2013 |
| Medicare PECOS PAC ID | 5496989071 |
|---|---|
| Medicare Enrollment ID | O20131015000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508299611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036.115847 (Illinois) | Primary |
| Provider Name | Sreepathy Kannan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295793529 PECOS PAC ID: 0547263584 Enrollment ID: I20060814000174 |
| Provider Name | Kenneth Munnerlyn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316172513 PECOS PAC ID: 8921246786 Enrollment ID: I20131220001768 |
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