Metroeast Neuropsychiatric Services, P.c. | |
10111 Lincoln Trl Fairview Heights IL 62208-1825 | |
(618) 397-6300 | |
(618) 397-8357 |
Full Name | Metroeast Neuropsychiatric Services, P.c. |
---|---|
Speciality | Community/behavioral Health |
Location | 10111 Lincoln Trl, Fairview Heights, Illinois |
Authorized Official Name and Position | V. Jose Thomas (PRESIDENT) |
Authorized Official Contact | 6183976300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Metroeast Neuropsychiatric Services, P.c. 10111 Lincoln Trl Fairview Heights IL 62208-1825 Ph: (618) 397-6300 | Metroeast Neuropsychiatric Services, P.c. 10111 Lincoln Trl Fairview Heights IL 62208-1825 Ph: (618) 397-6300 |
NPI Number | 1598952251 |
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Provider Enumeration Date | 09/26/2007 |
Last Update Date | 09/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598952251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Illinois) | Primary |
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