| Pavilion Foundation | |
|
809 W Church St Champaign IL 61820-3320 | |
| (217) 373-1700 | |
| Not Available |
| Full Name | Pavilion Foundation |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 809 W Church St, Champaign, Illinois |
| Authorized Official Name and Position | Steve Filton (CFO/SR VP) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavilion Foundation 809 W Church St Champaign IL 61820-3320 Ph: (217) 373-1700 | Pavilion Foundation 809 W Church St Champaign IL 61820-3320 Ph: (217) 373-1700 |
| NPI Number | 1518930619 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 04/21/2026 |
| Certification Date | 04/21/2026 |
| Medicare PECOS PAC ID | 7911043740 |
|---|---|
| Medicare Enrollment ID | O20091008000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518930619 | NPI | - | NPPES |
| Provider Name | Nitin P Bhosale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487732103 PECOS PAC ID: 1153421904 Enrollment ID: I20070710000483 |
| Provider Name | Martin Repetto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881634228 PECOS PAC ID: 9537136569 Enrollment ID: I20071026000741 |
| Provider Name | Syed Z Salik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265408694 PECOS PAC ID: 4981667334 Enrollment ID: I20090212000364 |
| Provider Name | Anoosh Salman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871793869 PECOS PAC ID: 9133398316 Enrollment ID: I20110803000888 |
| Provider Name | Benjamin Gersh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942400072 PECOS PAC ID: 9931379328 Enrollment ID: I20150720002701 |
| Provider Name | Natalie J Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063054203 PECOS PAC ID: 1850725649 Enrollment ID: I20200103000613 |
| Provider Name | Daniel Thomas Foutch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669149134 PECOS PAC ID: 4880084607 Enrollment ID: I20211209000207 |
| Provider Name | Chriss Mulumba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083108898 PECOS PAC ID: 6204163967 Enrollment ID: I20221004001087 |
| Provider Name | Brandon Lee Brown |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1396204228 PECOS PAC ID: 0840520607 Enrollment ID: I20221028002612 |
| Provider Name | Kacie D Zielsdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992494595 PECOS PAC ID: 8628430626 Enrollment ID: I20230808001297 |
| Provider Name | Chad O Cottrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477320828 PECOS PAC ID: 9830530716 Enrollment ID: I20240509000765 |
| Provider Name | Sharity Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609600683 PECOS PAC ID: 2365965043 Enrollment ID: I20250403000566 |
| Provider Name | Amanda Cavazos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578379848 PECOS PAC ID: 8426575242 Enrollment ID: I20250506001111 |
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