| Family Psychiatry Practice, Ltd. | |
|
3295 N Arlington Heights Rd Suite 102, Arlington Heights IL 60004-1565 | |
| (847) 392-7400 | |
| Not Available |
| Full Name | Family Psychiatry Practice, Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3295 N Arlington Heights Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Art Pogre (PRESIDENT) |
| Authorized Official Contact | 8477906757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychiatry Practice, Ltd. Po Box 24 Glencoe IL 60022-0024 Ph: () - | Family Psychiatry Practice, Ltd. 3295 N Arlington Heights Rd Suite 102, Arlington Heights IL 60004-1565 Ph: (847) 392-7400 |
| NPI Number | 1083819056 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 10/18/2007 |
| Medicare PECOS PAC ID | 9830145044 |
|---|---|
| Medicare Enrollment ID | O20050330000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083819056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
| Provider Name | Misty Dawn Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477919520 PECOS PAC ID: 1557664687 Enrollment ID: I20160125001349 |
| Provider Name | Aleksandra Besterfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770949067 PECOS PAC ID: 3072803063 Enrollment ID: I20160603000174 |
| Provider Name | Christine Wanyana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356624035 PECOS PAC ID: 3678832656 Enrollment ID: I20180119001530 |
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