Serene Psychiatry Pllc | |
1650 Moon Lake Blvd Hoffman Estates IL 60169-1010 | |
(847) 450-0222 | |
Not Available |
Full Name | Serene Psychiatry Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1650 Moon Lake Blvd, Hoffman Estates, Illinois |
Authorized Official Name and Position | Shaun Wood (OWNER) |
Authorized Official Contact | 8474500222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serene Psychiatry Pllc 2300 N Barrington Rd Ste 400 Hoffman Estates IL 60169-2036 Ph: (847) 450-0222 | Serene Psychiatry Pllc 1650 Moon Lake Blvd Hoffman Estates IL 60169-1010 Ph: (847) 450-0222 |
NPI Number | 1407660293 |
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Provider Enumeration Date | 02/03/2025 |
Last Update Date | 02/24/2025 |
Certification Date | 02/24/2025 |
Medicare PECOS PAC ID | 9830610153 |
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Medicare Enrollment ID | O20250303003245 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407660293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Purvi S Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881097244 PECOS PAC ID: 6709008667 Enrollment ID: I20141107001187 |
Provider Name | Shaun P Wood |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568461788 PECOS PAC ID: 6709778657 Enrollment ID: I20171116000005 |
Provider Name | Mark Norbert Guiab |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346770914 PECOS PAC ID: 7113284142 Enrollment ID: I20171130000210 |
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