| Psychiatric Consultants, Ltd | |
|
110 E. Main St Ste 326 Ottawa IL 61350-2900 | |
| (815) 434-6511 | |
| (815) 434-7151 |
| Full Name | Psychiatric Consultants, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 110 E. Main St, Ottawa, Illinois |
| Authorized Official Name and Position | Joseph W Chuprevich (OWNER) |
| Authorized Official Contact | 8154346511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Consultants, Ltd 110 E Main St Ste #326 Psychiatric Consultants, Ltd Ottawa IL 61350-2900 Ph: (815) 434-6511 | Psychiatric Consultants, Ltd 110 E. Main St Ste 326 Ottawa IL 61350-2900 Ph: (815) 434-6511 |
| NPI Number | 1548591571 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 01/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548591571 | NPI | - | NPPES |
| 036049754 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036049754 (Illinois) | Primary |
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