| Seth A. Eappen, Md Pllc | |
|
600 Enterprise Dr Ste 220 Oak Brook IL 60523 | |
| (844) 632-7736 | |
| (888) 972-3621 |
| Full Name | Seth A. Eappen, Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 Enterprise Dr Ste 220, Oak Brook, Illinois |
| Authorized Official Name and Position | Seth Eappen (OWNER) |
| Authorized Official Contact | 8446327736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seth A. Eappen, Md Pllc 600 Enterprise Dr Ste 220 Oak Brook IL 60523-4202 Ph: (844) 632-7736 | Seth A. Eappen, Md Pllc 600 Enterprise Dr Ste 220 Oak Brook IL 60523 Ph: (844) 632-7736 |
| NPI Number | 1639610553 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 07/02/2018 |
| Medicare PECOS PAC ID | 6002184264 |
|---|---|
| Medicare Enrollment ID | O20170726002305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639610553 | NPI | - | NPPES |
| Provider Name | Melissa Ann Colon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528424512 PECOS PAC ID: 2264736123 Enrollment ID: I20160212001811 |
| Provider Name | Seth Eappen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386905669 PECOS PAC ID: 0547559619 Enrollment ID: I20170105001053 |
| Provider Name | Kristen Marie Stromski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447717111 PECOS PAC ID: 6406199306 Enrollment ID: I20190516001415 |
| Provider Name | Carly L Koranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811469497 PECOS PAC ID: 9335472588 Enrollment ID: I20190604000805 |
| Provider Name | Aishah Asma Yanssaneh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417485525 PECOS PAC ID: 4385912682 Enrollment ID: I20211118001093 |
| Provider Name | Georgia Ketchum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659690881 PECOS PAC ID: 9830317643 Enrollment ID: I20231116001400 |
| Provider Name | Susannah Lee Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588331318 PECOS PAC ID: 5890144935 Enrollment ID: I20231214000403 |
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