Provider Demographics
NPI:1376651703
Name:GERIATRIC CARE ASSOCIATES
Entity Type:Organization
Organization Name:GERIATRIC CARE ASSOCIATES
Other - Org Name:MEHRDAD ABBASSIAN, M.D. ,P.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-667-1142
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-0869
Mailing Address - Country:US
Mailing Address - Phone:630-321-1115
Mailing Address - Fax:630-321-1116
Practice Address - Street 1:540 OAKMONT LN
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-3700
Practice Address - Country:US
Practice Address - Phone:630-321-1115
Practice Address - Fax:630-321-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE71098Medicare UPIN