| Clinic Of Psychiatric Care | |
|
1752 Windsor Rd Ste 203 Loves Park IL 61111-4280 | |
| (815) 986-2620 | |
| Not Available |
| Full Name | Clinic Of Psychiatric Care |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1752 Windsor Rd, Loves Park, Illinois |
| Authorized Official Name and Position | Peter Smith (CREDENTIALING AGENT) |
| Authorized Official Contact | 8159658505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic Of Psychiatric Care 1752 Windsor Rd Loves Park IL 61111-4280 Ph: (815) 986-2620 | Clinic Of Psychiatric Care 1752 Windsor Rd Ste 203 Loves Park IL 61111-4280 Ph: (815) 986-2620 |
| NPI Number | 1659531549 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659531549 | NPI | - | NPPES |
| 10127233 | Other | IL | BCBS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036076824 (Illinois) | Primary |
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