| Ci Psych, Pllc | |
|
2325 Dean St Ste 306 St Charles IL 60175-4810 | |
| (630) 528-0736 | |
| (630) 592-2179 |
| Full Name | Ci Psych, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2325 Dean St Ste 306, St Charles, Illinois |
| Authorized Official Name and Position | Cheryl Lynn Upchurch (CEO) |
| Authorized Official Contact | 6305280736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ci Psych, Pllc 1990 Larkin Ave # C3 Elgin IL 60123-5827 Ph: (630) 528-0736 | Ci Psych, Pllc 2325 Dean St Ste 306 St Charles IL 60175-4810 Ph: (630) 528-0736 |
| NPI Number | 1295462323 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Medicare PECOS PAC ID | 7416325485 |
|---|---|
| Medicare Enrollment ID | O20221122002958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295462323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cheryl L Ischar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801434733 PECOS PAC ID: 0244640613 Enrollment ID: I20201113002407 |
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