Chandragupta Vedak (NPI# 1871592881, PAC ID# 0244305233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1871592881 |
PAC ID by PECOS | 0244305233 |
Professional Enrollment ID | I20101026000754 |
Full Name | Chandragupta Vedak |
Organization Legal Name | HORIZONS BEHAVIORAL HEALTH LLC |
Address |
500 Coventry Ln Suite 205 Crystal Lake IL 60014-7555 |
Phone Number | 8154557100 |
Gender | M |
Graduation Year | 1976 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 4385531672 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140242 | CENTRAL DUPAGE HOSPITAL |
Address | Phone | Organization |
---|---|---|
500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 | 8154557100 | HORIZONS BEHAVIORAL HEALTH LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | HORIZONS BEHAVIORAL HEALTH LLC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Venkata Jampala | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Ritu K Talwar | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Kathleen M Deroche | Clinical Social Worker | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Jane Robertson | Clinical Social Worker | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Thakshakamani Madamala | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
George Chengalathu Gettys | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Aftab Poshni | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Edward K Mcgarrigle | Psychologist, Clinical | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Eshwar P Gumidyala | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Catherine Dean | Clinical Psychologist | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Street Address |
500 COVENTRY LN SUITE 205 |
City | CRYSTAL LAKE |
State | IL |
Zip | 60014-7555 |
Name | Specialty | Organization | Address |
---|---|---|---|
Venkata Jampala | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Michael E Robinson | Optometry | Coventry Eyecare Associates Ltd | 500 Coventry Ln, Suite 200, Crystal Lake, IL 60014-7599 |
Matthew Bluemlein | Optometry | Coventry Eyecare Associates Ltd | 500 Coventry Ln, Suite 200, Crystal Lake, IL 60014-7599 |
Ritu K Talwar | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Kathleen M Deroche | Clinical Social Worker | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Jane Robertson | Clinical Social Worker | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Thakshakamani Madamala | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
George Chengalathu Gettys | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Aftab Poshni | Psychiatry | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Edward K Mcgarrigle | Psychologist, Clinical | Horizons Behavioral Health LLC | 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7555 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Socha | Chiropractic | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 | |
Mark D Lagerkvist | Chiropractic | Chiro One Wellness Center of Crystal Lake Sc | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 |
Michael T Burns | Psychologist, Clinical | 610 Crystal Point Dr, Suite 3, Crystal Lake, IL 60014-1400 | |
Kenneth E Heinrichs | Psychologist, Clinical | 755 E Mcardle Dr, Suite E, Crystal Lake, IL 60014-1717 | |
Katherine A Galias | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
Susan G Swanson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
Christy A Benton | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
Roseann C Iverson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
Cynthia G Macdonald | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
Michael S Lesser | Family Medicine | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
Find all physicians in zip 60014 |
City | CRYSTAL LAKE |
Zip Code | 60014 |
Specialty | PSYCHIATRY |
City + Specialty | CRYSTAL LAKE + PSYCHIATRY |
Please comment or provide details below to improve the information on Chandragupta Vedak.
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.