Organization
ADVANCED PSYCHIATRY CLINICS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAREK WALCZYK MD (PRESIDENT)
(708) 224-8840
Entity
Organization
Contact information
Practice address
5519 N CUMBERLAND AVE STE 1016, CHICAGO, IL 60656-1480
(708) 224-8840
(773) 594-7721
Mailing address
5519 N CUMBERLAND AVE STE 1016, CHICAGO, IL 60656-1480
(708) 224-8840
(773) 594-7721
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36107779
MEDICAL LICENSE NUMBER
IL
Enumeration date
06/09/2020
Last updated
06/09/2020
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