Organization · Type 2 NPI
Churchwell Psychiatry, S.c.
Adult Mental Health Clinic/Center · Evanston, IL
NPI number
1356717151
Active
Practice location
636 Church St Ste 409A
Evanston, IL 60201-4580
Fax (888) 835-4696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 042620450 (IL) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1356717151
Churchwell Psychiatry, S.c.'s National Provider Identifier is 1356717151, issued on Aug 15, 2015. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Evanston, IL. The record was last updated on Aug 15, 2015.