AJAY JEETWANI


Address: 4 Doctors Park, Gibson City, IL 60936-2000
Phone: 2177844540

AJAY JEETWANI (NPI# 1205068053) 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) 1205068053
Entity Type Individual
Full Name AJAY JEETWANI
Credential MD
Practice Address 4 Doctors Park
Gibson City
IL 60936-2000
Practice Telephone 2177844540
Practice Fax Number 2177844542
Mailing Telephone 2177844540
Mailing Fax Number 2177844542
Enumeration Date 2009-08-12
Last Update Date 2013-09-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
036.130636 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 4 DOCTORS PARK
City GIBSON CITY
State IL
Zip Code 60936-2000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386727642 Amnuay Sethakorn Family Medicine 4 Doctors Park, Gibson City, IL 60936 2006-10-23
1720568538 Skylee Terese Crawford Social Worker 4 Doctors Park, Gibson City, IL 60936-2000 2018-08-21
1962996397 Abby M Johnson Social Worker 4 Doctors Park, Gibson City, IL 60936-2000 2018-06-19
1548776636 Vicki Lynn Angstmann Counselor 4 Doctors Park, Gibson City, IL 60936-2000 2017-12-27
1790220309 Katie S Cafarelli Social Worker 4 Doctors Park, Gibson City, IL 60936-2000 2017-01-05
1003361700 Emily Wenger Counselor 4 Doctors Park, Gibson City, IL 60936-2000 2016-08-23
1114371150 Brenda Sommer Counselor 4 Doctors Park, Gibson City, IL 60936-2000 2016-04-15
1427414085 Ingrid I Wheeler Social Worker 4 Doctors Park, Gibson City, IL 60936-2000 2016-01-12
1366883431 Gibson Community Hospital Association Psychiatry & Neurology 4 Doctors Park, Gibson City, IL 60936-2000 2013-07-17
1942576566 Emily A Sauder Social Worker 4 Doctors Park, Gibson City, IL 60936-2000 2012-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073738738 Carrie Ann Lithgow Physical Therapist 109 N. Sangamon Ave, Gibson City, IL 60936 2007-04-16
1144359001 Kerrie Ann Patrick Registered Nurse 222 N Sangamon, Gibson City, IL 60936 2007-03-05
1578612800 Donna J Boundy Dentist 627 E 8th St, Gibson City, IL 60936 2007-01-09
1093878241 Drew Curtis Duquette Chiropractor 523 and One Half South Sangamon Ave, Gibson City, IL 60936 2006-12-19
1689687295 Alexander V Grandt Nurse Practitioner 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 2006-08-14
1811125784 Gibson Community Hospital Association Surgery 1 Doctors Park, Gibson City, IL 60936 2009-06-30
1013050046 Rebecca Anne Wildermuth Specialist/Technologist 10 Doctors Park, Gibson City, IL 60936 2007-02-15
1245312602 Ginny E Pulley Licensed Practical Nurse 222 N Sangamon Ave, Gibson City, IL 60936 2006-10-19
1518065358 Karen Marie Leenerman Registered Nurse 222 N Sangamon Ave, Gibson City Clinic Sc, Gibson City, IL 60936 2006-09-20
1528166378 Melissa Kay Parks Registered Nurse 222 N Sangamon Ave, Gibson City, IL 60936 2006-09-20
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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
1366883431 Gibson Community Hospital Association Psychiatry & Neurology 4 Doctors Park, Gibson City, IL 60936-2000 2013-07-17
1235438417 Christine Grundeman Psychiatry & Neurology 1120 N Melvin St, Gibson City, IL 60936-1477 2011-03-27
1295991701 Trilok Shah Psychiatry & Neurology 4 Doctors Park, Gibson City, IL 60936 2008-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346840659 Amelia Mari Merz Psychiatry & Neurology 1101 Lake St Ste 201b, Oak Park, IL 60301-1046 2020-10-27
1063024925 Mindful Psychiatric Care LLC Psychiatry & Neurology 120 E Ogden Ave Ste 101, Hinsdale, IL 60521-3892 2020-08-20
1053921296 Healing Hands Resource Center Psychiatry & Neurology 6607 W Main St, Belleville, IL 62223-3025 2020-08-03
1144848086 Zachary A Kordik Md PC Psychiatry & Neurology 25 E Washington St Ste 904, Chicago, IL 60602-1715 2020-07-07
1629694278 Montes Psychiatric Center, P.C. Psychiatry & Neurology 717 Trent Ln, Loves Park, IL 61111-8956 2020-06-19
1659996767 Bluesky Telepsych Psychiatry & Neurology 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 2020-06-15
1164047833 Advanced Psychiatry Clinics, S.c. Psychiatry & Neurology 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 2020-06-09
1326661802 Psychmed Clinic Inc Psychiatry & Neurology 2159 W Madison St, Chicago, IL 60612-2307 2020-05-19
1467074534 Holmes Psychiatry LLC Psychiatry & Neurology 2027 W Division St # 144, Chicago, IL 60622-9024 2020-05-12
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
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Competitor

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City GIBSON CITY
Zip Code 60936

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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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