| Ranganathan T Ltd | |
|
555 Wilson Ln Chicago Behavioral Hospital Desplaines IL 60016-4729 | |
| (248) 699-7850 | |
| (248) 699-7851 |
| Full Name | Ranganathan T Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 555 Wilson Ln, Desplaines, Illinois |
| Authorized Official Name and Position | Thodur M Ranganathan (OWNER) |
| Authorized Official Contact | 2486997850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ranganathan T Ltd 13290 Fox Hill Dr Lemont IL 60439-8194 Ph: (248) 699-7850 | Ranganathan T Ltd 555 Wilson Ln Chicago Behavioral Hospital Desplaines IL 60016-4729 Ph: (248) 699-7850 |
| NPI Number | 1396385415 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 01/07/2020 |
| Certification Date | 01/07/2020 |
| Medicare PECOS PAC ID | 4284060484 |
|---|---|
| Medicare Enrollment ID | O20200206002509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396385415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Zahidur Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417975293 PECOS PAC ID: 9234031006 Enrollment ID: I20040122000593 |
| Provider Name | Thodur M Ranganathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841269727 PECOS PAC ID: 1456330703 Enrollment ID: I20040719001341 |
| Provider Name | Naveed Muhammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396799029 PECOS PAC ID: 7618943028 Enrollment ID: I20040908000185 |
| Provider Name | Sanjay Magan Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326240623 PECOS PAC ID: 2668573817 Enrollment ID: I20070718000623 |
| Provider Name | Waseema Tajammul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790128502 PECOS PAC ID: 1355624149 Enrollment ID: I20170201000544 |
| Provider Name | Ejaz N Jafri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225408289 PECOS PAC ID: 9830458041 Enrollment ID: I20180116001902 |
| Provider Name | Raymond Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609354133 PECOS PAC ID: 7911246996 Enrollment ID: I20190308002759 |
| Provider Name | Islam Hussein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821612185 PECOS PAC ID: 5395120711 Enrollment ID: I20220920003397 |