| Peace Psychiatric Services Pllc | |
|
2501 Chatham Rd Ste R Springfield IL 62704-4188 | |
| (312) 442-0270 | |
| Not Available |
| Full Name | Peace Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2501 Chatham Rd Ste R, Springfield, Illinois |
| Authorized Official Name and Position | Aasta I Knox (OWNER) |
| Authorized Official Contact | 7082951221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Psychiatric Services Pllc 609 Ridge Rd # 162 Munster IN 46321-1609 Ph: (708) 951-2212 | Peace Psychiatric Services Pllc 2501 Chatham Rd Ste R Springfield IL 62704-4188 Ph: (312) 442-0270 |
| NPI Number | 1386345007 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 04/23/2023 |
| Certification Date | 04/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386345007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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