Organization
JAI YESU PSYCHIATRIC SERVICES SC
Active
Organization
JAI YESU PSYCHIATRIC SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MATHEWS M.D. (PRESIDENT)
(540) 467-3615
Entity
Organization
Contact information
Practice address
4711 N LAPORTE AVE, CHICAGO, IL 60630-3830
(540) 467-3615
Mailing address
4711 N LAPORTE AVE, CHICAGO, IL 60630-3830
(540) 467-3615
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.121203
IL
Other
Enumeration date
12/27/2009
Last updated
11/08/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up