| Success Tms Professional Services, Pllc | |
|
1500 Waukegan Rd Ste 209&213 Glenview IL 60025-2100 | |
| (416) 915-9100 | |
| Not Available |
| Full Name | Success Tms Professional Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 Waukegan Rd Ste 209&213, Glenview, Illinois |
| Authorized Official Name and Position | Archana Nigam (ASSISTANT VP OF MANAGED CARE) |
| Authorized Official Contact | 4169159100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Tms Professional Services, Pllc 1615 S Congress Ave Ste 200 Delray Beach FL 33445-6326 Ph: (561) 264-4406 | Success Tms Professional Services, Pllc 1500 Waukegan Rd Ste 209&213 Glenview IL 60025-2100 Ph: (416) 915-9100 |
| NPI Number | 1457997496 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 5597194779 |
|---|---|
| Medicare Enrollment ID | O20200409001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457997496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Talat Ghaus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689623472 PECOS PAC ID: 1557340874 Enrollment ID: I20040719001145 |
| Provider Name | Dennis Gelyana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871600429 PECOS PAC ID: 7012985351 Enrollment ID: I20040923000647 |
| Provider Name | Terry L Hanusa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144253873 PECOS PAC ID: 6507980570 Enrollment ID: I20100826001205 |
| Provider Name | Christopher Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922479617 PECOS PAC ID: 4284915778 Enrollment ID: I20161221000090 |
| Provider Name | Sofia C Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780180851 PECOS PAC ID: 8527322445 Enrollment ID: I20190520002809 |
| Provider Name | Olajumoke Adekoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699360289 PECOS PAC ID: 1153729645 Enrollment ID: I20211109001320 |
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