Chicago Medical School | |
3333 Green Bay Rd North Chicago IL 60064-3037 | |
(734) 286-4594 | |
Not Available |
Full Name | Chicago Medical School |
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Speciality | Psychiatric Unit |
Location | 3333 Green Bay Rd, North Chicago, Illinois |
Authorized Official Name and Position | David Garfield (PSYCHIATRY DEPARTMENT CHAIR) |
Authorized Official Contact | 8472089090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chicago Medical School 3333 Green Bay Rd North Chicago IL 60064-3037 Ph: () - | Chicago Medical School 3333 Green Bay Rd North Chicago IL 60064-3037 Ph: (734) 286-4594 |
NPI Number | 1316329162 |
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Provider Enumeration Date | 06/28/2015 |
Last Update Date | 06/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316329162 | NPI | - | NPPES |
125067684 | Other | IL | IL MEDICAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 125067684 (Illinois) | Primary |
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