KAPIL KIRAN AEDMA


Address: 900 Main St Ste 400, Peoria, IL 61602-1060
Phone: 3096723100

KAPIL KIRAN AEDMA (NPI# 1437438249) 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) 1437438249
Entity Type Individual
Full Name KAPIL KIRAN AEDMA
Credential M.D
Practice Address 900 Main St Ste 400
Peoria
IL 61602-1060
Practice Telephone 3096723100
Practice Fax Number 3096723131
Mailing Telephone 3096723100
Mailing Fax Number 3096723131
Enumeration Date 2011-08-10
Last Update Date 2019-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
036148146 IL Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
036148146 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 900 MAIN ST STE 400
City PEORIA
State IL
Zip Code 61602-1060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245748920 Tammy Burtch Social Worker 900 Main St Ste 400, Peoria, IL 61602-1060 2018-01-17
1154845089 Jennifer Zeck Social Worker 900 Main St Ste 400, Peoria, IL 61602-1060 2017-08-02
1568805703 Mohsina Ahmed Psychiatry & Neurology 900 Main St Ste 400, Peoria, IL 61602 2013-04-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574676 Critical Care Rx, LLC Pharmacy 126 Oak St, Peoria, IL 61602 2018-07-03
1235675836 Cheryl Beckman Registered Nurse 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 2017-01-06
1063957942 Rosemary Ince Registered Nurse 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 2016-12-30
1962674820 Lisa Jean Burckhartzmeyer Psychiatry & Neurology 228 Ne Jefferson St, Peoria, IL 61602 2008-03-31
1669503587 Jill Larson Counselor 330 Sw Washington Street, Peoria, IL 61602 2007-03-09
1265407399 Cardiac Consultants Sc Internal Medicine 900 Main Street, Suite 320, Peoria, IL 61602 2006-02-22
1013364470 Rafal Szymczuk Student in an Organized Health Care Education/Training Program 900 Main Street, Suite 720, Peoria, IL 61602 2016-05-16
1043693831 Kari Beth Watts Family Medicine 815 Main St, Peoria, IL 61602 2015-06-30
1881072791 Kristen Dent Family Medicine 815 Main St, Peoria, IL 61602 2015-05-12
1023422797 Andrew Wang Psychiatry & Neurology 900 Main St Ste 580, Peoria, IL 61602 2014-06-20
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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
1154336691 Shobha Nookala Psychiatry & Neurology 900 Main St, Suite 400, Peoria, IL 61602-1005 2006-07-31
1508834839 Lourdes Delgado-serrano Psychiatry & Neurology Dept of Pediatrics, 320 E Armstrong, Peoria, IL 61603 2006-03-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144851684 Greywood Health Center LLC Psychiatry & Neurology 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 2020-02-03
1285273540 Tms Clinical Services Pllc Psychiatry & Neurology 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 2020-01-03
1942702386 Brain and Wellness Institute LLC Psychiatry & Neurology 30 W Oak St Apt 14a, Chicago, IL 60610-8724 2018-03-01
1598278749 Elemental Treatment Center Ltd Psychiatry & Neurology 612 S Western Ave Apt 1, Chicago, IL 60612-4682 2017-11-09
1225404551 Family Renewed, LLC Psychiatry & Neurology 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 2015-08-21
1487032082 Jerry Francisco Benzl Psychiatry & Neurology 1740 Taylor St., Chicago, IL 60612 2015-05-14
1942697800 Dr Mo S.c Psychiatry & Neurology 2131 W Silverleaf Ln, Addison, IL 60101-6404 2015-04-17
1104234046 Hitekshya Nepal Psychiatry & Neurology 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 2014-07-23
1740558261 Jyoti Shah Psychiatry & Neurology 1335 N Mill St Ste 100, Naperville, IL 60563-2047 2011-12-12
1083921530 Jodi Chase Psychiatry & Neurology 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 2010-09-04
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Competitor

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City PEORIA
Zip Code 61602

Improve Information

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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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