Organization
PHOENIX HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL MOSTOW MD (DELEGATED OFFICIAL)
(773) 465-4555
Entity
Organization
Contact information
Practice address
7324 N WESTERN AVE, CHICAGO, IL 60645-1814
(773) 465-4555
(773) 465-4552
Mailing address
1941 GOVERNORS, HOFFMAN ESTATES, IL 60169
(847) 310-3555
(773) 751-2225
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
IL
Other
Enumeration date
05/26/2006
Last updated
04/09/2008
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