Organization
ADVANCED PSYCHIATRIC SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH MENEZES MD (PROVIDER/OWNER)
(708) 488-4968
Entity
Organization
Contact information
Practice address
8311 ROOSEVELT RD, FOREST PARK, IL 60130-2529
(708) 771-7000
Mailing address
PO BOX 5800, RIVER FOREST, IL 60305-5800
(708) 488-4968
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036054796
IL
Other
Enumeration date
05/24/2006
Last updated
04/21/2015
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