| Illinois Associates In Psychiatry Pc | |
|
400 S Station Rd Glen Carbon IL 62034-2743 | |
| (618) 656-2000 | |
| Not Available |
| Full Name | Illinois Associates In Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 400 S Station Rd, Glen Carbon, Illinois |
| Authorized Official Name and Position | Kim Stevens (OPERATIONS MANAGER) |
| Authorized Official Contact | 6186562000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Associates In Psychiatry Pc 103a Southpointe Edwardsville IL 62025-3651 Ph: (618) 656-2000 | Illinois Associates In Psychiatry Pc 400 S Station Rd Glen Carbon IL 62034-2743 Ph: (618) 656-2000 |
| NPI Number | 1083849368 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 05/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083849368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 060006403 (Illinois) | Primary |
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