Provider Demographics
NPI:1053355289
Name:CONVENTIONS PSYCHIATRY & COUNSELING, P.C.
Entity type:Organization
Organization Name:CONVENTIONS PSYCHIATRY & COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:N
Authorized Official - Last Name:GAONKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-416-8289
Mailing Address - Street 1:4300 WEAVER PKWY STE 100A
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3920
Mailing Address - Country:US
Mailing Address - Phone:630-416-8289
Mailing Address - Fax:630-416-8306
Practice Address - Street 1:4300 WEAVER PKWY STE 100A
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3920
Practice Address - Country:US
Practice Address - Phone:630-416-8289
Practice Address - Fax:630-416-8306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4532105OtherBCBS
ILDB3417OtherM/C RAILROAD
IL7060599OtherAETNA GROUP NO.
IL308307OtherMHN GROUP NO.
IL536849000OtherMAGELLAN GROUP NO.
ILDB3436OtherM/C RAILROAD NO.
IL=========OtherCIGNA GROUP NO.
IL4532105OtherBCBS
IL7060599OtherAETNA GROUP NO.
IL210387Medicare ID - Type UnspecifiedSW M/C GROUP NO.
ILDB3417OtherM/C RAILROAD
IL308307OtherMHN GROUP NO.
IL210387Medicare PIN
IL208262Medicare PIN
IL=========OtherRUSH BEHAV. GRP NO.