| Premier Psychiatric Services Llc | |
|
125 W Maple St New Lenox IL 60451-1739 | |
| (815) 408-0988 | |
| (815) 697-4326 |
| Full Name | Premier Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 125 W Maple St, New Lenox, Illinois |
| Authorized Official Name and Position | Jarryd Edward Mcguire (NURSE PRACTITIONER) |
| Authorized Official Contact | 8154080988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Psychiatric Services Llc 125 W Maple St New Lenox IL 60451-1739 Ph: (815) 408-0988 | Premier Psychiatric Services Llc 125 W Maple St New Lenox IL 60451-1739 Ph: (815) 408-0988 |
| NPI Number | 1356111090 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356111090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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