Organization · Type 2 NPI
Surestep
Addiction Medicine (Psychiatry & Neurology) Physician · South Elgin, IL
NPI number
1124464912
Active
Practice location
471 Briargate Dr
South Elgin, IL 60177-2225
Fax (847) 429-2078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | 036.131190 (IL) |
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
Another provider at this address
About NPI 1124464912
Surestep's National Provider Identifier is 1124464912, issued on May 20, 2013. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in South Elgin, IL. The record was last updated on May 20, 2013.