| Prestige Psychiatry1 Llc | |
|
1413 S Addison Ave Lombard IL 60148-4118 | |
| (630) 520-4657 | |
| Not Available |
| Full Name | Prestige Psychiatry1 Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1413 S Addison Ave, Lombard, Illinois |
| Authorized Official Name and Position | Shuja Uddin (PRESIDENT) |
| Authorized Official Contact | 6305204657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Psychiatry1 Llc 1413 S Addison Ave Lombard IL 60148-4118 Ph: (630) 520-4657 | Prestige Psychiatry1 Llc 1413 S Addison Ave Lombard IL 60148-4118 Ph: (630) 520-4657 |
| NPI Number | 1225775018 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225775018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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