DRS SRIPADA MD SC (NPI# 1598919755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598919755 |
Entity Type | Organization |
Organization Name | DRS SRIPADA MD SC |
Practice Address |
361 Park Ave Ste 202 Glencoe IL 60022-1587 |
Practice Telephone | 8478359085 |
Mailing Telephone | 8478359085 |
Enumeration Date | 2008-11-13 |
Last Update Date | 2008-11-13 |
Authorized Official Name | DR. TERESA SRIPADA (SECRETARY) |
Authorized Official Telephone | 8478359085 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36054375 | IL | Allopathic & Osteopathic Physicians |
Street Address |
361 PARK AVE STE 202 |
City | GLENCOE |
State | IL |
Zip Code | 60022-1587 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528406188 | Lauren J Schneider | Chiropractor | 378 Park Avenue, Suite 1d, Glencoe, IL 60022 | 2013-06-05 |
1356689897 | Christopher L. Johnston | Counselor | 706 Green Bay Road, Suite 3, Glencoe, IL 60022 | 2013-01-17 |
1447533039 | Inna Serman | Pharmacist | 63 N Greenbay Rd, Glenco, IL 60022 | 2011-09-21 |
1023263084 | Jacqueline Kessler-santiccioli | Speech-Language Pathologist | 725 Apple Tree Lane, Glencoe, IL 60022 | 2008-11-18 |
1639385628 | Michael P Bobrow | Dentist | 630 Vernon Ave, Suite C Lakeshore Dental Inc, Glencoe, IL 60022 | 2007-05-15 |
1073738423 | Meg Racenstein | Clinical Neuropsychologist | 630 N. Vernon Ave., Suite G, Glencoe, IL 60022 | 2007-04-13 |
1073650479 | Jerome Meyer Grunes | Psychiatry & Neurology | 110 Dell Place, Glencoe, IL 60022 | 2007-02-01 |
1457428740 | Anne Rousseau Douglas | Marriage & Family Therapist | 190 Maple Hill Road, Glencoe, IL 60022 | 2006-11-29 |
1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
1407932379 | Brooke Kayman Fox | Social Worker | 850 North Milwaukee Avenue, Suite 209, Vernon Hills, IL 60022 | 2006-10-31 |
Find all providers in zip 60022 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962607135 | Marcia Elise Leikin | Psychiatry & Neurology | 378 Park Ave, Glencoe, IL 60022-1586 | 2007-06-18 |
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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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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.