| Sunova Healthcare S.c. | |
|
1420 Renaissance Dr Ste 207 Park Ridge IL 60068-1342 | |
| (847) 559-9015 | |
| (847) 574-7444 |
| Full Name | Sunova Healthcare S.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1420 Renaissance Dr Ste 207, Park Ridge, Illinois |
| Authorized Official Name and Position | Julie Kopacz (PRACTICE MANAGAER) |
| Authorized Official Contact | 8475595091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunova Healthcare S.c. 1480 Renaissance Dr Ste 211 Park Ridge IL 60068-1353 Ph: (847) 559-9015 | Sunova Healthcare S.c. 1420 Renaissance Dr Ste 207 Park Ridge IL 60068-1342 Ph: (847) 559-9015 |
| NPI Number | 1083072839 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 2365747581 |
|---|---|
| Medicare Enrollment ID | O20160226000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083072839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036100094 (Illinois) | Primary |
| Provider Name | Sudesh G Sachdeva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043250228 PECOS PAC ID: 6406806512 Enrollment ID: I20050126000924 |
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