| Luxmed Behavioral Health Llc | |
|
2s631 State Route 59 Ste E Warrenville IL 60555-1464 | |
| (630) 216-9098 | |
| (630) 447-0008 |
| Full Name | Luxmed Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2s631 State Route 59 Ste E, Warrenville, Illinois |
| Authorized Official Name and Position | Gregory Jasinski (PHYSICIAN/PSYCHIATRIST) |
| Authorized Official Contact | 6302169440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luxmed Behavioral Health Llc 2s631 State Route 59 Ste E Warrenville IL 60555-1464 Ph: (630) 216-9440 | Luxmed Behavioral Health Llc 2s631 State Route 59 Ste E Warrenville IL 60555-1464 Ph: (630) 216-9098 |
| NPI Number | 1801446950 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Medicare PECOS PAC ID | 7012340524 |
|---|---|
| Medicare Enrollment ID | O20191213000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801446950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gregory B Jasinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164735403 PECOS PAC ID: 0345495693 Enrollment ID: I20160831001772 |
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