Chandragupta S Vedak in Crystal Lake - Psychiatry
Chandragupta S Vedak - NPI 1871592881
Chandragupta S Vedak is a Psychiatry in Crystal Lake, Illinois. Chandragupta S Vedak practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Chandragupta S Vedak is 1871592881. The last update date is 2021-12-22.
Chandragupta S Vedak's current location address is 500 Coventry Ln, Crystal Lake, Illinois. You can contact this provider via phone number 8154557100 and fax number 8154553951. The mailing address for Chandragupta S Vedak is 500 Coventry Ln, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chandragupta S Vedak |
|---|---|
| Address | 500 Coventry Ln, Crystal Lake, Illinois |
| Phone Number | 8154557100 |
| Fax Number | 8154553951 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871592881 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 500 Coventry Ln |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600147579 |
| Phone Number | 8154557100 |
| Fax Number | 8154553951 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 036-070389 |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36070389 | IL | -- | |
| 5619771 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Chandragupta S Vedak by the Centers for Medicare & Medicaid Services?
The Chandragupta S Vedak has been issued the NPI (National Provider Identifier) 1871592881 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Chandragupta S Vedak is located?
The Chandragupta S Vedak is situated at the following address: 500 Coventry Ln, Crystal Lake, IL, 600147579.
What is Chandragupta S Vedak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Chandragupta S Vedak is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871592881 to Chandragupta S Vedak?
The Centers for Medicare & Medicaid Services assigned the 1871592881 to Chandragupta S Vedak on 2005-07-20.
When was the Chandragupta S Vedak's information last updated?
The Chandragupta S Vedak's information was last updated on 2021-12-22.