| Professional Psychiatry Inc. | |
|
4433 W Touhy Ave Ste 262 Lincolnwood IL 60712-1833 | |
| (847) 312-3376 | |
| Not Available |
| Full Name | Professional Psychiatry Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4433 W Touhy Ave Ste 262, Lincolnwood, Illinois |
| Authorized Official Name and Position | Ghazala Fayyaz (PRESIDENT) |
| Authorized Official Contact | 8473123506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychiatry Inc. 9446 Latrobe Ave Skokie IL 60077-1112 Ph: (847) 312-4219 | Professional Psychiatry Inc. 4433 W Touhy Ave Ste 262 Lincolnwood IL 60712-1833 Ph: (847) 312-3376 |
| NPI Number | 1528366234 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528366234 | NPI | - | NPPES |
| 036113634 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-113634 (Illinois) | Primary |
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