Organization · Type 2 NPI

Lutheran Social Services of Illinois

Child & Adolescent Psychiatry Physician · Chicago, IL

NPI number 1265676597 Active

Practice location

4840 W Byron St
Chicago, IL 60641-2712

Fax (773) 282-2163

Mailing address

1001 E Touhy Ave, SUITE# 170
Des Plaines, IL 60018-5801

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician Primary 2084P0804XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1265676597

Lutheran Social Services of Illinois's National Provider Identifier is 1265676597, issued on Apr 30, 2009. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Chicago, IL. The record was last updated on Apr 30, 2009.