| Rad Gharavi Md Pc | |
|
7115 North Ave # 274 Oak Park IL 60302-1002 | |
| (708) 790-5200 | |
| Not Available |
| Full Name | Rad Gharavi Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7115 North Ave # 274, Oak Park, Illinois |
| Authorized Official Name and Position | Rad Gharavi (PRESIDENT) |
| Authorized Official Contact | 7087905200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rad Gharavi Md Pc 7115 North Ave # 274 Oak Park IL 60302-1002 Ph: (708) 790-5200 | Rad Gharavi Md Pc 7115 North Ave # 274 Oak Park IL 60302-1002 Ph: (708) 790-5200 |
| NPI Number | 1144495144 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 0547336091 |
|---|---|
| Medicare Enrollment ID | O20080905000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144495144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 36-103322 (Illinois) | Primary |
| Provider Name | Rad Gharavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518078732 PECOS PAC ID: 6901972447 Enrollment ID: I20080905000590 |
| Provider Name | Rachel Amodu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819219 PECOS PAC ID: 7113396441 Enrollment ID: I20221208002225 |
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