Organization
PSYCHIATRIC SERVICES PC
Active
Other names
Tom Lelio PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FRANCIS LELIO MD (OWNER)
(815) 485-2163
Entity
Organization
Contact information
Practice address
110 BATSON ST, SUITE E, NEW LENOX, IL 60451
(815) 485-2885
(815) 485-2185
Mailing address
701 MISTY CREEK DR, NEW LENOX, IL 60451
(815) 485-2163
(815) 485-6567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
IL
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533810
MEDICARE ID
IL
Enumeration date
08/13/2007
Last updated
08/13/2007
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