| Diya Psychiatry Sc | |
|
26 E Scranton Ave Unit 115 Lake Bluff IL 60044-3204 | |
| (714) 261-8950 | |
| Not Available |
| Full Name | Diya Psychiatry Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 26 E Scranton Ave Unit 115, Lake Bluff, Illinois |
| Authorized Official Name and Position | Martha C Hnatiw (ACCT MANAGER) |
| Authorized Official Contact | 6302411495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diya Psychiatry Sc 26 E Scranton Ave Unit 115 Lake Bluff IL 60044-3204 Ph: (714) 261-8950 | Diya Psychiatry Sc 26 E Scranton Ave Unit 115 Lake Bluff IL 60044-3204 Ph: (714) 261-8950 |
| NPI Number | 1891442729 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 05/31/2022 |
| Certification Date | 04/29/2022 |
| Medicare PECOS PAC ID | 0345621546 |
|---|---|
| Medicare Enrollment ID | O20220719003686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891442729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jackie R Rajani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073043352 PECOS PAC ID: 2163751363 Enrollment ID: I20190913001294 |
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