Organization
S & T MENTAL WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKHDEV SONI MD (MEDICAL DIRECTOR)
(815) 741-4758
Entity
Organization
Contact information
Practice address
320 W 83RD ST STE A, CHICAGO, IL 60620-1704
(815) 741-4758
Mailing address
320 W 83RD ST STE A, CHICAGO, IL 60620-1704
(815) 741-4758
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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