Organization
IMMAKULATE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MAKI DO (PROVIDER)
(847) 280-1505
Entity
Organization
Contact information
Practice address
5730 W ROOSEVELT RD, CHICAGO, IL 60644-1580
(773) 413-1700
Mailing address
1373 DIVISION ST, HIGHLAND PARK, IL 60035-3059
(847) 280-1505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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