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Organization
SPECTRUM PRIVATE CLIENT
Active
Organization
SPECTRUM PRIVATE CLIENT
Active
Parent organization
SPECTRUM BA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM BA
Authorized official
SHEILA MOFFETT (OFFICE ADMINISTRATOR)
(773) 316-2317
Entity
Organization
Contact information
Practice address
201 E OGDEN AVE STE 118, HINSDALE, IL 60521-3776
(630) 270-7717
Mailing address
201 E OGDEN AVE STE 118, HINSDALE, IL 60521-3776
(630) 270-7717
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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