| Philip K Mccullough Md Sc | |
|
201 E Huron St Suite 11-100 Chicago IL 60611-3197 | |
| (312) 695-3680 | |
| (312) 926-3709 |
| Full Name | Philip K Mccullough Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 201 E Huron St, Chicago, Illinois |
| Authorized Official Name and Position | Philip K Mccullough (PRESIDENT) |
| Authorized Official Contact | 3126953680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip K Mccullough Md Sc 201 E Huron St Suite 11-100 Chicago IL 60611-3197 Ph: (312) 695-3680 | Philip K Mccullough Md Sc 201 E Huron St Suite 11-100 Chicago IL 60611-3197 Ph: (312) 695-3680 |
| NPI Number | 1003017864 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003017864 | NPI | - | NPPES |
| 01635513 | Other | IL | BCBSIL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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