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Organization

ILLINOIS ASSOCIATES IN PSYCHIATRY PC

Active
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Organization

ILLINOIS ASSOCIATES IN PSYCHIATRY PC

Active
Parent organization
ILLINOIS ASSOCIATES IN PSYCHIATRY PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ILLINOIS ASSOCIATES IN PSYCHIATRY PC
Authorized official
KIM STEVENS (OPERATIONS MANAGER)
(618) 656-2000
Entity
Organization

Contact information

Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 656-2000
Mailing address
103A SOUTHPOINTE, EDWARDSVILLE, IL 62025-3651
(618) 656-2000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
060006403
IL

Other

Enumeration date
05/15/2009
Last updated
05/15/2009
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