Shriners Hospitals For Children Professional Services | |
2211 N Oak Park Ave Chicago IL 60707-3351 | |
(773) 385-5400 | |
(773) 385-5453 |
Full Name | Shriners Hospitals For Children Professional Services |
---|---|
Speciality | Orthopaedic Surgery |
Location | 2211 N Oak Park Ave, Chicago, Illinois |
Authorized Official Name and Position | Jerry G. Gantt (PRESIDENT) |
Authorized Official Contact | 2182810300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shriners Hospitals For Children Professional Services Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 Ph: (773) 385-5445 | Shriners Hospitals For Children Professional Services 2211 N Oak Park Ave Chicago IL 60707-3351 Ph: (773) 385-5400 |
NPI Number | 1871930693 |
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Provider Enumeration Date | 06/03/2013 |
Last Update Date | 01/13/2023 |
Certification Date | 01/13/2023 |
Medicare PECOS PAC ID | 9133031933 |
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Medicare Enrollment ID | O20131009001351 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871930693 | NPI | - | NPPES |
Provider Name | Shubhra Mukherjee |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1790770659 PECOS PAC ID: 3870589351 Enrollment ID: I20040421000752 |
Provider Name | Linda Wagner-weiner |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1366592313 PECOS PAC ID: 3779564588 Enrollment ID: I20040527000510 |
Provider Name | Katrina S Duque |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1275532277 PECOS PAC ID: 1254310113 Enrollment ID: I20040715000494 |
Provider Name | Kenneth Silver |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1871661686 PECOS PAC ID: 5496721185 Enrollment ID: I20040903000414 |
Provider Name | Francis M Prendergast |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255325668 PECOS PAC ID: 8325017825 Enrollment ID: I20040930001072 |
Provider Name | Polina Voronov |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1164458055 PECOS PAC ID: 4587629852 Enrollment ID: I20041129000398 |
Provider Name | Srikumar B Pillai |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1518953538 PECOS PAC ID: 3173551256 Enrollment ID: I20050729000848 |
Provider Name | Eugene P Lopez |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1467452300 PECOS PAC ID: 6103855671 Enrollment ID: I20050809000852 |
Provider Name | Barry L Wenig |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1447356126 PECOS PAC ID: 1254363880 Enrollment ID: I20050906000110 |
Provider Name | Michael S Bednar |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1609840743 PECOS PAC ID: 3072547199 Enrollment ID: I20050920000589 |
Provider Name | Daniel Mark Schwartz |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104815240 PECOS PAC ID: 2264466739 Enrollment ID: I20050923000380 |
Provider Name | Pravin Kumar Patel |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1760478325 PECOS PAC ID: 6507886223 Enrollment ID: I20051128000074 |
Provider Name | Rakhi W Thambi |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1164408407 PECOS PAC ID: 5193745453 Enrollment ID: I20051201000097 |
Provider Name | Purnendu Gupta |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1740358308 PECOS PAC ID: 0446261309 Enrollment ID: I20060508000453 |
Provider Name | Mitchell Frank Grasseschi |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1801863097 PECOS PAC ID: 9032121728 Enrollment ID: I20060621000096 |
Provider Name | Kim W Hammerberg |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1912925165 PECOS PAC ID: 8820099831 Enrollment ID: I20070117000521 |
Provider Name | Nicole C Thompson |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1497890990 PECOS PAC ID: 8921105941 Enrollment ID: I20070525000136 |
Provider Name | David J Ubogy |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053537027 PECOS PAC ID: 4880786375 Enrollment ID: I20070829000169 |
Provider Name | Julia F Corcoran |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1992790828 PECOS PAC ID: 5991899957 Enrollment ID: I20070920000816 |
Provider Name | Pilar R Mercado |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1205041795 PECOS PAC ID: 4385730308 Enrollment ID: I20071022000407 |
Provider Name | Mohan S Gundeti |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1790968147 PECOS PAC ID: 4587747324 Enrollment ID: I20080216000028 |
Provider Name | Leelach Rothschild Dekoven |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1992908487 PECOS PAC ID: 9335217736 Enrollment ID: I20081013000429 |
Provider Name | Arthur W Curtis |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1962466417 PECOS PAC ID: 0446316103 Enrollment ID: I20090304000316 |
Provider Name | Teresa Cappello |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1346240082 PECOS PAC ID: 6103875075 Enrollment ID: I20090624000507 |
Provider Name | Susan A Kecskes |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1710999776 PECOS PAC ID: 1557414315 Enrollment ID: I20090728000178 |
Provider Name | Sarah Lynn Oswald |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1033316237 PECOS PAC ID: 6800949835 Enrollment ID: I20090807000576 |
Provider Name | Clark Schierle |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1366403156 PECOS PAC ID: 3173655669 Enrollment ID: I20100720000016 |
Provider Name | Edmundo P Cortez |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386675098 PECOS PAC ID: 4082748090 Enrollment ID: I20100812000729 |
Provider Name | Gregory A Dumanian |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1972533388 PECOS PAC ID: 8426247214 Enrollment ID: I20110110000523 |
Provider Name | Mary Beth Madonna |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1265427108 PECOS PAC ID: 3173712437 Enrollment ID: I20110118001096 |
Provider Name | Meredith T Albert |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912280876 PECOS PAC ID: 3779757562 Enrollment ID: I20111111000659 |
Provider Name | Patricia L Engebretson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982877650 PECOS PAC ID: 3173798147 Enrollment ID: I20111203000062 |
Provider Name | James S Donaldson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225022312 PECOS PAC ID: 0840197489 Enrollment ID: I20111215000367 |
Provider Name | Jackson T Norman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386638310 PECOS PAC ID: 6608041918 Enrollment ID: I20111215000465 |
Provider Name | Cynthia L Rigsby |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346234374 PECOS PAC ID: 6305011610 Enrollment ID: I20111215000511 |
Provider Name | Martha C Saker |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790779734 PECOS PAC ID: 3971778184 Enrollment ID: I20111215000614 |
Provider Name | Mary R Wyers |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447244496 PECOS PAC ID: 9638344856 Enrollment ID: I20111215000697 |
Provider Name | Haluk Altiok |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1568578441 PECOS PAC ID: 3971763749 Enrollment ID: I20120402000524 |
Provider Name | Mariam M Kappil |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922126390 PECOS PAC ID: 8022270305 Enrollment ID: I20120502000557 |
Provider Name | Ami N Shah |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1578651899 PECOS PAC ID: 0345342291 Enrollment ID: I20121023000743 |
Provider Name | Tatiana K Dixon |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1710183009 PECOS PAC ID: 0648420570 Enrollment ID: I20121030000212 |
Provider Name | Andrada R Popescu |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1902062847 PECOS PAC ID: 8729232400 Enrollment ID: I20130205000128 |
Provider Name | Jonathan D Samet |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124284401 PECOS PAC ID: 0446406524 Enrollment ID: I20130722000233 |
Provider Name | Neha S Dasmunshi |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1821257833 PECOS PAC ID: 7315102472 Enrollment ID: I20130726000578 |
Provider Name | Ellen C Benya |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497755565 PECOS PAC ID: 7810121571 Enrollment ID: I20131011000543 |
Provider Name | Molly J Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639358914 PECOS PAC ID: 6305897547 Enrollment ID: I20131016000197 |
Provider Name | Consuelo L Fuentes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265712947 PECOS PAC ID: 3577797067 Enrollment ID: I20131017000000 |
Provider Name | Jeffrey D Ackman |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1417063389 PECOS PAC ID: 1658506068 Enrollment ID: I20131021000104 |
Provider Name | Lawrence C Vogel |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1588770499 PECOS PAC ID: 0840425047 Enrollment ID: I20131024000239 |
Provider Name | Peter A Smith |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1518071398 PECOS PAC ID: 5698900801 Enrollment ID: I20131024000539 |
Provider Name | Kathy Z Jefson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1730417361 PECOS PAC ID: 8224263363 Enrollment ID: I20131028000786 |
Provider Name | Marisa J Foss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093962375 PECOS PAC ID: 7719113034 Enrollment ID: I20131115000086 |
Provider Name | Helen H Lee |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1598963076 PECOS PAC ID: 5193893980 Enrollment ID: I20140408001545 |
Provider Name | Kathryn L Colman |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1508098476 PECOS PAC ID: 5092992420 Enrollment ID: I20140711000455 |
Provider Name | Richard M Shore |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548254220 PECOS PAC ID: 1759503253 Enrollment ID: I20141118002024 |
Provider Name | Esther Ro |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1225272818 PECOS PAC ID: 4688989171 Enrollment ID: I20150812008361 |
Provider Name | Naseem Taaha Shakir |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821265182 PECOS PAC ID: 0446484265 Enrollment ID: I20160620002263 |
Provider Name | Michal Szczodry |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1154646792 PECOS PAC ID: 1052627858 Enrollment ID: I20160812001319 |
Provider Name | Melissa L Neveu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639490170 PECOS PAC ID: 8628210093 Enrollment ID: I20161005003160 |
Provider Name | Carla V Quijano |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073779179 PECOS PAC ID: 4284787334 Enrollment ID: I20170321001761 |
Provider Name | Felicity Fishman |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1932376092 PECOS PAC ID: 4486895836 Enrollment ID: I20170627000464 |
Provider Name | Nathaniel Koo |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1467626184 PECOS PAC ID: 0143586404 Enrollment ID: I20171102002078 |
Provider Name | Lee Alkureishi |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1720382856 PECOS PAC ID: 2961705991 Enrollment ID: I20180104000361 |
Provider Name | Katherine Elizabeth Ovsevitz |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1780022301 PECOS PAC ID: 1254631500 Enrollment ID: I20180906000326 |
Provider Name | Lindsay Griffin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023373198 PECOS PAC ID: 5395012033 Enrollment ID: I20180914001007 |
Provider Name | Saad Ranginwala |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669735809 PECOS PAC ID: 5294964839 Enrollment ID: I20190404001236 |
Provider Name | Jillian Rose Krauss |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710324983 PECOS PAC ID: 4183855059 Enrollment ID: I20190801002351 |
Provider Name | Farheen Sultana |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1528488509 PECOS PAC ID: 2961793948 Enrollment ID: I20191001001655 |
Provider Name | Chad Purnell |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1841586450 PECOS PAC ID: 1456616010 Enrollment ID: I20191022000031 |
Provider Name | Peter S Assaad |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538324660 PECOS PAC ID: 0547586901 Enrollment ID: I20200803000151 |
Provider Name | Brian C Gulack |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1396036406 PECOS PAC ID: 1557787231 Enrollment ID: I20200812000676 |
Provider Name | Alejandro Zamudio |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1457713901 PECOS PAC ID: 8426487414 Enrollment ID: I20201102002066 |
Provider Name | Philip F Giampietro |
---|---|
Provider Type | Practitioner - Medical Genetics And Genomics |
Provider Identifiers | NPI Number: 1346340080 PECOS PAC ID: 9133280878 Enrollment ID: I20201107000030 |
Provider Name | Meghan E Harding |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1508270430 PECOS PAC ID: 0446556740 Enrollment ID: I20201107000044 |
Provider Name | Maria G Martinez |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1174938591 PECOS PAC ID: 5799197356 Enrollment ID: I20201224000180 |
Provider Name | Kelsey E Davidson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1366732364 PECOS PAC ID: 9133424948 Enrollment ID: I20210325000755 |
Provider Name | Lydia R Barhight |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871843235 PECOS PAC ID: 0143451559 Enrollment ID: I20210329001704 |
Provider Name | Kathleen M Benson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376096115 PECOS PAC ID: 4082017421 Enrollment ID: I20210723000050 |
Provider Name | Alejandro Pasaret |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1336643329 PECOS PAC ID: 9133476781 Enrollment ID: I20210927003352 |
Provider Name | Silvia M Ardila |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1457733156 PECOS PAC ID: 4183920317 Enrollment ID: I20211001000417 |
Provider Name | Dianna M Bardo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1881686111 PECOS PAC ID: 6507956893 Enrollment ID: I20211019001817 |
Provider Name | Joe Baker |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1265756233 PECOS PAC ID: 2668613860 Enrollment ID: I20211029001546 |
Provider Name | Sahitya Denduluri |
---|---|
Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1114381373 PECOS PAC ID: 5991101727 Enrollment ID: I20221003001479 |
Provider Name | David Walters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780303735 PECOS PAC ID: 1951770437 Enrollment ID: I20221205001760 |
Provider Name | John P Ghazi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1982067823 PECOS PAC ID: 4587034541 Enrollment ID: I20230109001002 |
Provider Name | Richard Monahan |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1952438509 PECOS PAC ID: 0749650752 Enrollment ID: I20230110000090 |
Provider Name | Kyle C Deane |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093335770 PECOS PAC ID: 9234509118 Enrollment ID: I20230111000143 |
Provider Name | Andrew Davis-sandfoss |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1588151583 PECOS PAC ID: 7315294626 Enrollment ID: I20231019000437 |
Provider Name | Thuan D Dang |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1720489750 PECOS PAC ID: 4284938945 Enrollment ID: I20231106003110 |
Provider Name | Silvana Carr |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558652248 PECOS PAC ID: 1557548229 Enrollment ID: I20240329001920 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |