NPI 1003949793

Midwest Neuropsychiatric Assoc LTD

Organisation Specialist Chicago, IL

Practice location

Address: 1725 W Harrison St Suite 744, Chicago, IL 60612-3841
Phone: (312) 942-0118
Fax: (312) 942-1331

Authorised official

Name: Jane Carley
Title: Office Manager
Phone: (312) 942-9319

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 042002366 (IL)

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Registry record

NPI: 1003949793
Entity type: Organization
NPI issued: 13 Mar 2007
Record last updated: 27 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.