Neethu Jacob (NPI# 1770024242, PAC ID# 5597036830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1770024242 |
| PAC ID by PECOS | 5597036830 |
| Professional Enrollment ID | I20170804002909 |
| Full Name | Neethu Jacob |
| Organization Legal Name | CONVENTIONS PSYCHIATRY AND COUNSELING, P.C. |
| Address |
1560 Wall St Suite 304 Naperville IL 60563-1262 |
| Phone Number | 6304168289 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143113027 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1560 Wall St, Suite 304, Naperville, IL 60563-1262 | 6304168289 | CONVENTIONS PSYCHIATRY AND COUNSELING, P.C. |
| Organization Legal Name | CONVENTIONS PSYCHIATRY AND COUNSELING, P.C. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Mulligan | Physician Assistant | Conventions Psychiatry and Counseling, P.C. | 2055 W Balmoral Ave, Chicago, IL 60625-1001 |
| David P Sachs | Nurse Practitioner | Conventions Psychiatry and Counseling, P.C. | 4s100 N Route 59, Suite 9, Naperville, IL 60563-9697 |
| Sandeep N Gaonkar | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Rajeev Malhotra | Geriatric Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Balamoorti N Gaonkar | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Jennie R Krull | Nurse Practitioner | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Kavita J Shah | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Paragini Chandarana | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Michelle Beason Roush | Physician Assistant | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Samar Mahmood | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Street Address |
1560 WALL ST SUITE 304 |
| City | NAPERVILLE |
| State | IL |
| Zip | 60563-1262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina Appadurai | Psychologist, Clinical | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Yusra Al-shawaf | Clinical Social Worker | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Sandeep N Gaonkar | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Rajeev Malhotra | Geriatric Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Diane Toby | Psychologist, Clinical | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Balamoorti N Gaonkar | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Jennie R Krull | Nurse Practitioner | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Kavita J Shah | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Paragini Chandarana | Psychiatry | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Michelle Beason Roush | Physician Assistant | Conventions Psychiatry and Counseling, P.C. | 1560 Wall St, Suite 304, Naperville, IL 60563-1262 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph M Serpe | Chiropractic | Serpe Chiropractic Clinic | 1952 Mcdowell Rd, Naperville, IL 60563 |
| Jacqueline A Rice | Nurse Practitioner | Practical Practitioners LLC | 1347 Crystal Ave, Naperville, IL 60563-0149 |
| Michael H Rabin | Neurosurgery | Neurosurgery and Spine Surgery Sc | 1551 Bond St, Suite 143, Naperville, IL 60563-0150 |
| Christina Cal Shane | Clinical Social Worker | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Jillu Chinnu Panavelil | Clinical Social Worker | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Dorothea Swiderska | Clinical Social Worker | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| David Rodemaker | Psychologist, Clinical | Richard Kneip Phd PC | 1560 Wall St, Suite 204, Naperville, IL 60563-1146 |
| Joseph T Glim | Clinical Social Worker | 1770 Park St, Suite 109, Naperville, IL 60563-1244 | |
| Virginia Mcdonough | Clinical Social Worker | 1770 N Park Place, Suite 107, Naperville, IL 60563-1244 | |
| Cheryl A Petersen | Clinical Social Worker | 1770 N Park Place, Suite 107, Naperville, IL 60563-1244 | |
| Find all physicians in zip 60563 | |||
| City | NAPERVILLE |
| Zip Code | 60563 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NAPERVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Neethu Jacob.
| 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.