# SPECIALIZED HEALTH CARE SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECIALIZED HEALTH CARE SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962847699
- **Legal business name:** SPECIALIZED HEALTH CARE SERVICES
- **Authorized official:** REGINA DIANA LEWIS (CEO/OWNER)
- **Authorized official phone:** (773) 688-5092

## Contact information

- **Practice address:** 4909 W HURON ST, CHICAGO, IL 60644-1334
- **Practice address phone:** (773) 688-5092
- **Practice address fax:** (773) 379-6983
- **Mailing address:** 4909 W HURON ST, CHICAGO, IL 60644-1334
- **Mailing address phone:** (773) 688-5092
- **Mailing address fax:** (773) 379-6983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 04/13/2020