| You Psychiatry Clinic, Pllc | |
|
2501 Chatham Rd Suite N Springfield IL 62704-4188 | |
| (708) 765-6340 | |
| Not Available |
| Full Name | You Psychiatry Clinic, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2501 Chatham Rd Suite N, Springfield, Illinois |
| Authorized Official Name and Position | Huong Iodice (PMHNP-BC) |
| Authorized Official Contact | 7087656340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| You Psychiatry Clinic, Pllc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (708) 765-6340 | You Psychiatry Clinic, Pllc 2501 Chatham Rd Suite N Springfield IL 62704-4188 Ph: (708) 765-6340 |
| NPI Number | 1558196592 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 4183159130 |
|---|---|
| Medicare Enrollment ID | O20241127001449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558196592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Huong Iodice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207925 PECOS PAC ID: 0143530444 Enrollment ID: I20151116001883 |
| Provider Name | My Phon Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700175783 PECOS PAC ID: 4183936818 Enrollment ID: I20230210000770 |
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