| Psygenic Health Inc | |
|
920 175th St Ste 6 Homewood IL 60430-2077 | |
| (708) 879-2975 | |
| (708) 365-2949 |
| Full Name | Psygenic Health Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 920 175th St Ste 6, Homewood, Illinois |
| Authorized Official Name and Position | Theresa Olusola (MANAGER) |
| Authorized Official Contact | 7088792975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psygenic Health Inc 920 175th St Ste 6 Homewood IL 60430-2077 Ph: (708) 879-2975 | Psygenic Health Inc 920 175th St Ste 6 Homewood IL 60430-2077 Ph: (708) 879-2975 |
| NPI Number | 1356152169 |
|---|---|
| Provider Enumeration Date | 01/20/2025 |
| Last Update Date | 01/20/2025 |
| Certification Date | 01/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356152169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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