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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