Organization · Type 2 NPI
S & T Mental Wellness Center Inc
Addiction Medicine (Psychiatry & Neurology) Physician · Chicago, IL
NPI number
1063136307
Active
Practice location
320 W 83rd St Ste A
Chicago, IL 60620-1704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0813X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Other addiction medicine (psychiatry & neurology) physician providers in Chicago
About NPI 1063136307
S & T Mental Wellness Center Inc's National Provider Identifier is 1063136307, issued on Sep 29, 2022. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Chicago, IL. The record was last updated on Sep 29, 2022.