Dynamic Psychiatry Llc | |
147 N 2nd St Suite #7 Dekalb IL 60115-3276 | |
(815) 217-0155 | |
(815) 217-0185 |
Full Name | Dynamic Psychiatry Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 147 N 2nd St, Dekalb, Illinois |
Authorized Official Name and Position | Ramon Marquez (OWNER) |
Authorized Official Contact | 8152170155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dynamic Psychiatry Llc 147 N 2nd St Suite #7 Dekalb IL 60115-3276 Ph: (815) 217-0155 | Dynamic Psychiatry Llc 147 N 2nd St Suite #7 Dekalb IL 60115-3276 Ph: (815) 217-0155 |
NPI Number | 1861779084 |
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Provider Enumeration Date | 11/16/2011 |
Last Update Date | 11/16/2011 |
Identifier | Type | State | Issuer |
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1861779084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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