Integrated Psyche Services, S.C. in Chicago - Clinical
Integrated Psyche Services, S.C. - NPI 1124288741
Integrated Psyche Services, S.C. is a Clinical in Chicago, Illinois. Integrated Psyche Services, S.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Integrated Psyche Services, S.C. is 1124288741. The last update date is 2008-06-17.
Integrated Psyche Services, S.C.'s current location address is 1525 E 53rd St, Chicago, Illinois. You can contact this provider via phone number 7735623276. The mailing address for Integrated Psyche Services, S.C. is 1525 E 53rd St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Integrated Psyche Services, S.C. |
|---|---|
| Address | 1525 E 53rd St, Chicago, Illinois |
| Phone Number | 7735623276 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHIATRI |
|---|---|
| Authorized Official Name | Imani Pouran |
| Credentials | MD |
| Telephone Number | 7735623276 |
NPI Number Detail
| NPI Number | 1124288741 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 1525 E 53rd St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606154557 |
| Phone Number | 7735623276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006030 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1635194 | IL | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Integrated Psyche Services, S.C. by the Centers for Medicare & Medicaid Services?
The Integrated Psyche Services, S.C. has been issued the NPI (National Provider Identifier) 1124288741 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Integrated Psyche Services, S.C. is physically located?
The Integrated Psyche Services, S.C. is physically situated at the following address: 1525 E 53Rd St, Chicago, IL, 606154557.
What is Integrated Psyche Services, S.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Integrated Psyche Services, S.C. is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124288741 to Integrated Psyche Services, S.C.?
The Centers for Medicare & Medicaid Services originally issued the 1124288741 to Integrated Psyche Services, S.C. on 2008-06-17.
As of what date were the Integrated Psyche Services, S.C.'s details last updated?
The information pertaining to the Integrated Psyche Services, S.C., including its address, specialty, and other details, was most recently updated on 2008-06-17.
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