Maple Street Clinic Ltd in Lawrenceville - Psychiatry
Maple Street Clinic Ltd - NPI 1245252204
Maple Street Clinic Ltd is a Psychiatry in Lawrenceville, Illinois. Maple Street Clinic Ltd practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Maple Street Clinic Ltd is 1245252204. The last update date is 2014-03-19.
Maple Street Clinic Ltd's current location address is 1401 15th St, Lawrenceville, Illinois. You can contact this provider via phone number 6188394618 and fax number 6189431700. The mailing address for Maple Street Clinic Ltd is 1401 15th St, Lawrenceville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maple Street Clinic Ltd |
|---|---|
| Address | 1401 15th St, Lawrenceville, Illinois |
| Phone Number | 6188394618 |
| Fax Number | 6189431700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hungerford E Linda |
| Credentials | MD |
| Telephone Number | 6188391561 |
NPI Number Detail
| NPI Number | 1245252204 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2014-03-19 |
Provider Mailing Address Detail
| Address | 1401 15th St |
|---|---|
| City | Lawrenceville |
| State | Illinois (IL) |
| Post Code | 624392223 |
| Phone Number | 6188394618 |
| Fax Number | 6189431700 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 36072942 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36072942 | IL | -- |
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What is the unique identification code assigned to Maple Street Clinic Ltd by the Centers for Medicare & Medicaid Services?
The Maple Street Clinic Ltd has been issued the NPI (National Provider Identifier) 1245252204. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Maple Street Clinic Ltd located?
The Maple Street Clinic Ltd is located at 1401 15Th St, Lawrenceville, IL 624392223.
What is Maple Street Clinic Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maple Street Clinic Ltd's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
When did the Maple Street Clinic Ltd receive its 1245252204?
The Maple Street Clinic Ltd was issued its 1245252204 on 2006-07-25, which is the date when the organization was assigned this unique identifier.
When was the information regarding Maple Street Clinic Ltd most recently updated?
The details pertaining to the Maple Street Clinic Ltd, including its address, specialty, and other relevant information, were last refreshed on 2014-03-19.
NPI Number: 1154329126
Address: 3301 New Mexico Ave Nw Ste 346nw, Washington, DC