AJAY JEETWANI (NPI# 1205068053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036.130636 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4 DOCTORS PARK |
| City | GIBSON CITY |
| State | IL |
| Zip Code | 60936-2000 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60936 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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] |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GIBSON CITY |
| Zip Code | 60936 |
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| 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.