| Starved Rock Family Psychiatry, Llc | |
|
325 Clark St Ste C Utica IL 61373-9484 | |
| (815) 275-3035 | |
| Not Available |
| Full Name | Starved Rock Family Psychiatry, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 325 Clark St Ste C, Utica, Illinois |
| Authorized Official Name and Position | Amanda Amiti (OWNER) |
| Authorized Official Contact | 8152753035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starved Rock Family Psychiatry, Llc 1 Bridget Ter Utica IL 61373-9552 Ph: (815) 275-3035 | Starved Rock Family Psychiatry, Llc 325 Clark St Ste C Utica IL 61373-9484 Ph: (815) 275-3035 |
| NPI Number | 1861244063 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861244063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Mcl Health Center - Utica Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 E Us Highway 6 Ste B, Utica, IL 61373 Phone: 815-310-5750 Fax: 815-310-1051 |