Unknown Individual – Psychiatry Physician, NPI 1508939794
Psychiatry Physician
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Provider Addresses for Unknown Individual
2323, Windish Drive, Galesburg, Knox County, Illinois, 61401, United States
BRIDGEWAY INC
GALESBURG, IL 61401
Phone: (309) 344-2323
Fax: (309) 344-4281
Type: Location
3147, Treesdale Court, Naperville, Wheatland Township, Will County, Illinois, 60564, United States
NAPERVILLE, IL 60564
Phone: (630) 753-9316
Type: Mailing
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 61401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | IL | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 1594 | 331 |
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