Michigan Ave Psychiatry & Counseling Center in Chicago - Clinical
Michigan Ave Psychiatry & Counseling Center - NPI 1578690970
Michigan Ave Psychiatry & Counseling Center is a Clinical in Chicago, Illinois. Michigan Ave Psychiatry & Counseling Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michigan Ave Psychiatry & Counseling Center is 1578690970. The last update date is 2020-08-22.
Michigan Ave Psychiatry & Counseling Center's current location address is 30 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3122200537. The mailing address for Michigan Ave Psychiatry & Counseling Center is 30 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan Ave Psychiatry & Counseling Center |
|---|---|
| Address | 30 N Michigan Ave, Chicago, Illinois |
| Phone Number | 3122200537 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Raftery Thomas John |
| Credentials | MD |
| Telephone Number | 3122200537 |
NPI Number Detail
| NPI Number | 1578690970 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30 N Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60602 |
| Phone Number | 3122200537 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21608116 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michigan Ave Psychiatry & Counseling Center by the Centers for Medicare & Medicaid Services?
The Michigan Ave Psychiatry & Counseling Center has been assigned the NPI (National Provider Identifier) 1578690970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Michigan Ave Psychiatry & Counseling Center's facilities are geographically located?
The facilities of Michigan Ave Psychiatry & Counseling Center are physically situated at the following location: 30 N Michigan Ave, Chicago, IL, 60602.
What is Michigan Ave Psychiatry & Counseling Center's area of expertise and its corresponding taxonomy classification?
The Michigan Ave Psychiatry & Counseling Center's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1578690970 to Michigan Ave Psychiatry & Counseling Center?
The Michigan Ave Psychiatry & Counseling Center received its 1578690970 assignment from the Centers for Medicare & Medicaid Services on 2007-02-27.
When was the Michigan Ave Psychiatry & Counseling Center's information last updated?
The Michigan Ave Psychiatry & Counseling Center's information was last updated on 2020-08-22.
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