Organization
ILLINOIS PSYCH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SEAN RAE MD (MEDICAL DIRECTOR)
(330) 536-3746
Entity
Organization
Contact information
Practice address
738 E DUNDEE RD, PALATINE, IL 60074-2858
(330) 536-3746
(330) 267-4250
Mailing address
3593 MEDINA RD STE 181, MEDINA, OH 44256-8182
(330) 536-3746
(330) 267-4250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
08/24/2021
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