Illinois Health Care Clinic, P.C. in Energy - Psychologist
Illinois Health Care Clinic, P.C. - NPI 1194734459
Illinois Health Care Clinic, P.C. is a Psychologist in Energy, Illinois. Illinois Health Care Clinic, P.C. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Illinois Health Care Clinic, P.C. is 1194734459. The last update date is 2010-07-02.
Illinois Health Care Clinic, P.C.'s current location address is 610 Corbin Dr, Energy, Illinois. You can contact this provider via phone number 6189220398 and fax number 6189427931. The mailing address for Illinois Health Care Clinic, P.C. is 610 Corbin Dr, Energy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Health Care Clinic, P.C. |
|---|---|
| Address | 610 Corbin Dr, Energy, Illinois |
| Phone Number | 6189220398 |
| Fax Number | 6189427931 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Bedi S Sukhdarshan |
| Credentials | M.D. |
| Telephone Number | 6189220398 |
NPI Number Detail
| NPI Number | 1194734459 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2010-07-02 |
Provider Mailing Address Detail
| Address | 610 Corbin Dr |
|---|---|
| City | Energy |
| State | Illinois (IL) |
| Post Code | 629333576 |
| Phone Number | 6189220398 |
| Fax Number | 6189427931 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Illinois Health Care Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The Illinois Health Care Clinic, P.C. has been issued the NPI (National Provider Identifier) 1194734459. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Illinois Health Care Clinic, P.C. is physically located?
The Illinois Health Care Clinic, P.C. is physically situated at the following address: 610 Corbin Dr, Energy, IL, 629333576.
What is Illinois Health Care Clinic, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Illinois Health Care Clinic, P.C.'s specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did the Illinois Health Care Clinic, P.C. receive its 1194734459?
The Illinois Health Care Clinic, P.C. was issued its 1194734459 on 2006-08-05, which is the date when the organization was assigned this unique identifier.
When was the information related to Illinois Health Care Clinic, P.C. most recently updated or refreshed?
The details pertaining to the Illinois Health Care Clinic, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-02.