| Presence Chicago Hospitals Network | |
|
2900 N Lake Shore Dr Chicago IL 60657-5640 | |
| (773) 665-3000 | |
| Not Available |
| Full Name | Presence Chicago Hospitals Network |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2900 N Lake Shore Dr, Chicago, Illinois |
| Authorized Official Name and Position | Mary Jo Mackniskas (SR. DIRECTOR OF NET REV & REIMB) |
| Authorized Official Contact | 7732130776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence Chicago Hospitals Network 2900 N Lake Shore Dr Chicago IL 60657-5640 Ph: (773) 665-3000 | Presence Chicago Hospitals Network 2900 N Lake Shore Dr Chicago IL 60657-5640 Ph: (773) 665-3000 |
| NPI Number | 1194404251 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194404251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
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