Organization · Type 2 NPI
Aurora Chicago Lakeshore Hospital, LLC
Psychiatric Hospital · Chicago, IL
NPI number
1790197978
Active
Practice location
4720 Clarendon Road
Chicago, IL 60640-7860
Fax (773) 907-4607
Mailing address
4840 N Marine Dr
Chicago, IL 60640-7860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric Hospital Primary | 283Q00000X | 0005207 (IL) |
Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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About NPI 1790197978
Aurora Chicago Lakeshore Hospital, LLC's National Provider Identifier is 1790197978, issued on May 22, 2014. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Chicago, IL. The record was last updated on May 28, 2014.