| Southwest Psychiatric Services, Sc | |
|
11512 W 183rd St Suite Ne Orland Park IL 60467-9406 | |
| (708) 478-6470 | |
| (708) 478-6471 |
| Full Name | Southwest Psychiatric Services, Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11512 W 183rd St, Orland Park, Illinois |
| Authorized Official Name and Position | Thomas Scott Bartuska (PRESIDENT) |
| Authorized Official Contact | 7084786470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Psychiatric Services, Sc 11512 W 183rd St Suite Ne Orland Park IL 60467-9406 Ph: (708) 478-6470 | Southwest Psychiatric Services, Sc 11512 W 183rd St Suite Ne Orland Park IL 60467-9406 Ph: (708) 478-6470 |
| NPI Number | 1457437899 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457437899 | NPI | - | NPPES |
| 01623641 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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