| Select Psychiatric Management Group Llc | |
|
100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718 | |
| (618) 252-0999 | |
| (618) 252-2032 |
| Full Name | Select Psychiatric Management Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 100 Dr Warren Tuttle Dr, Harrisburg, Illinois |
| Authorized Official Name and Position | Naeem Akhtar Qureshi (MEMBER MANAGER) |
| Authorized Official Contact | 6189980888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Psychiatric Management Group Llc 112 Airway Dr Marion IL 62959-5841 Ph: (618) 998-0888 | Select Psychiatric Management Group Llc 100 Dr Warren Tuttle Dr Harrisburg IL 62946-2718 Ph: (618) 252-0999 |
| NPI Number | 1427345131 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427345131 | NPI | - | NPPES |
| 036094666 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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