FOREFRONT-KHATKHATE MEDICAL SERVICES PC


Address: 600 S 2nd St Ste 404, Springfield, IL 62704-2542
Phone: 5102010190

FOREFRONT-KHATKHATE MEDICAL SERVICES PC (NPI# 1164076683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164076683
Entity Type Organization
Organization Name FOREFRONT-KHATKHATE MEDICAL SERVICES PC
Practice Address 600 S 2nd St Ste 404
Springfield
IL 62704-2542
Mailing Address 6201 Oak Cyn Ste 150
Irvine
CA 92618-5230
Practice Telephone 5102010190
Mailing Telephone 9495525232
Mailing Fax Number 8889722903
Enumeration Date 2019-08-01
Last Update Date 2019-08-10
Authorized Official Name SHERRY KOVACS (ASSISTANT/PROVIDER ENROLLMENT)
Authorized Official Telephone 9495525232
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE MEDICAL LICENSE 036-119096 01

Office Location

Street Address 600 S 2ND ST STE 404
City SPRINGFIELD
State IL
Zip Code 62704-2542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538760509 Adrienne Mocogni Social Worker 600 S 2nd St Ste 404, Springfield, IL 62704-2542 2020-11-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902394901 Hillary Haaker Occupational Therapist 2035 W Iles, Suite C, Springfield, ID 62704 2018-04-25
1871095364 Edward Doyle Slifer Sr. Pathology 2117 Greenside Drive, Spring Field, IL 62704 2018-03-01
1598263345 Santarelli & Feller Dental Group Dentist 1140 Rickard Road, Suite B, Springfield, IL 62704 2018-01-26
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1730611286 Mindi Rowe Occupational Therapist 2508 County Rd 4 1/2 E, Springfield, IL 62704 2017-04-03
1366992208 Jayme Jordan Contractor 2409 Westchester Blvd, Springfield, IL 62704 2016-10-04
1154793974 Dina Payne Social Worker 917 Clocktower Drive, Suite 600, Springfield, IL 62704 2015-10-21
1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
1942552161 Jeannie Marie Hundley Specialist/Technologist, Other 2921 Monvale Drive, Springfield, IL 62704 2012-10-11
Find all providers in zip 62704

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699043976 Terry Arthur Travis Psychiatry & Neurology 1200 Ravenswood, Na, Springfield, IL 62711-6079 2011-12-01
1659512184 Julie A. Warren, Md LLC Psychiatry & Neurology 1911 S. National Avenue, Suite 405, Springfield, MO 65804 2009-03-12
1255577821 William Basham Psychiatry & Neurology 5729 Main St # 330, Springfield, OR 97478-5426 2009-01-01
1679718043 Leslie Jeanne Phelps Psychiatry & Neurology 1717 E. Primrose St., Apartment B204, Springfield, MO 65804-5413 2008-12-12
1134302656 Interlink Behavioral Services, P.C. Psychiatry & Neurology 3121 S Terrace Green Ct, Springfield, MO 65804-4555 2007-12-06
1366621351 Azra A Farooqui Psychiatry & Neurology 7745 Jewelweed Ct, Springfield, VA 22152-3148 2007-10-26
1093919714 Lillian Joy Houston Psychiatry & Neurology 315 W Carpenter St Dept Of, Springfield, IL 62702-4901 2007-06-14
1881808145 Yakhmi Mds Psychiatry & Neurology 1505 N Limestone St, Springfield, OH 45503-3317 2007-05-09
1588784706 Asad Gobar Psychiatry & Neurology 5922 Hall St, Springfield, VA 22152-1401 2007-03-30
1619095643 Joseph Glenn Bohlen Psychiatry & Neurology 3001 Spring Mill Drive, Suite D, Springfield, IL 62704-6599 2007-03-27
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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