| Diversified Behavioral Services, Inc. | |
|
11070 S Western Ave Chicago IL 60643-3928 | |
| (773) 239-9700 | |
| (773) 239-7506 |
| Full Name | Diversified Behavioral Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11070 S Western Ave, Chicago, Illinois |
| Authorized Official Name and Position | George E. Smith (CEO/PRESIDENT) |
| Authorized Official Contact | 7732399700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Behavioral Services, Inc. 11070 S Western Ave Chicago IL 60643-3928 Ph: (773) 239-9700 | Diversified Behavioral Services, Inc. 11070 S Western Ave Chicago IL 60643-3928 Ph: (773) 239-9700 |
| NPI Number | 1104081272 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104081272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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