| Centers For Neurological Diseases, Pc | |
|
521 E 86th Ave Ste Z Merrillville IN 46410-6236 | |
| (219) 769-0777 | |
| Not Available |
| Full Name | Centers For Neurological Diseases, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 521 E 86th Ave Ste Z, Merrillville, Indiana |
| Authorized Official Name and Position | Eileen Johnson (DIRECTOR) |
| Authorized Official Contact | 7085727606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centers For Neurological Diseases, Pc 521 E 86th Ave Ste Z Merrillville IN 46410-6236 Ph: (219) 769-0777 | Centers For Neurological Diseases, Pc 521 E 86th Ave Ste Z Merrillville IN 46410-6236 Ph: (219) 769-0777 |
| NPI Number | 1740882737 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Medicare PECOS PAC ID | 4688086945 |
|---|---|
| Medicare Enrollment ID | O20201210002651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740882737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Larry Salberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073666749 PECOS PAC ID: 3375438419 Enrollment ID: I20050421001472 |
| Provider Name | Richard L Cristea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992858641 PECOS PAC ID: 9739074873 Enrollment ID: I20080623000462 |
| Provider Name | Stephen S Karol |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487709986 PECOS PAC ID: 1658569751 Enrollment ID: I20101215001119 |
| Provider Name | Jennifer Pallone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295888923 PECOS PAC ID: 2264620376 Enrollment ID: I20101215001162 |
| Provider Name | Chirag Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205981750 PECOS PAC ID: 5092880666 Enrollment ID: I20101216000189 |
| Provider Name | Mitchell Heston Kaufman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164536553 PECOS PAC ID: 6608979695 Enrollment ID: I20171102000187 |
| Provider Name | Raul Altura Guevara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194861054 PECOS PAC ID: 8527006352 Enrollment ID: I20180119001305 |
| Provider Name | Nesreen Suwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821095936 PECOS PAC ID: 1557303484 Enrollment ID: I20190606002390 |
| Provider Name | Jennifer Rose Evan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487018479 PECOS PAC ID: 1658662515 Enrollment ID: I20200825002786 |
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