Howard J Ilivicky
PSYCHIATRIC CARE AND RESEARCH CENTER INC


Address: 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223
Phone: 6362443589

Howard J Ilivicky (NPI# 1093711152, PAC ID# 0648417576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1093711152
PAC ID by PECOS 0648417576
Professional Enrollment ID I20130513000277
Full Name Howard J Ilivicky
Organization Legal Name PSYCHIATRIC CARE AND RESEARCH CENTER INC
Address 4132 Keaton Crossing Blvd
Suite 201
O Fallon
MO 63368-8223
Phone Number 6362443589
Gender M
Medical School WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty PSYCHIATRY
Group Practice PAC ID 3678710506
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223 6362443589 PSYCHIATRIC CARE AND RESEARCH CENTER INC
4132 Keaton Crossing Blvd, Suite 204, O Fallon, MO 63368-8223 8559404867 GREENBROOK TMS ST LOUIS LLC
11477 Olde Cabin Rd, Suite 210, Saint Louis, MO 63141-7129 3147208561 GREENBROOK TMS ST LOUIS LLC

Organization Information

Organization Legal Name PSYCHIATRIC CARE AND RESEARCH CENTER INC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Kelly E Govro Physician Assistant Psychiatric Care and Research Center Inc 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223
John P Canale Psychiatry Psychiatric Care and Research Center Inc 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223

Office Location

Street Address 4132 KEATON CROSSING BLVD
SUITE 201
City O FALLON
State MO
Zip 63368-8223

Physicians in the same location

Name Specialty Organization Address
Janet S Chartrand Clinical Social Worker 4132 Keaton Crossing Blvd, Suite 201, Ofallon, MO 63368-8223
Kelly E Govro Physician Assistant Psychiatric Care and Research Center Inc 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223
John P Canale Psychiatry Psychiatric Care and Research Center Inc 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223

Physicians in the same zip code

Name Specialty Organization Address
Austin F Clark Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Jeffrey S Swank Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Benjamin L Schaub Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Donald T Thorsen Occupational Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Theodore S Rummel Orthopedic Surgery Piper Spine Care, PC 2 Progress Point Pkwy, O Fallon, MO 63368-2205
Michelle L Maloney Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207
Brian Grus Internal Medicine Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Gloria Michelle P Edacheril Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Bridget Doerr Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Genevieve Catherine Matthews Internal Medicine Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
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Competitor

Search similar physicians

City O FALLON
Zip Code 63368
Specialty PSYCHIATRY
City + Specialty O FALLON + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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