Organization
MAIN ST. PSYCHIATRY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE GAIL PARKS M.D. (OWNER/MEDICAL DIRECTOR)
(815) 526-3781
Entity
Organization
Contact information
Practice address
10 W MAIN ST, CARY, IL 60013-2866
(815) 526-3781
(815) 526-3094
Mailing address
5911 NORTHWEST HWY STE 207, CRYSTAL LAKE, IL 60014-8043
(815) 526-3781
(815) 526-3094
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36-086270
IL
Other
Enumeration date
12/26/2017
Last updated
11/22/2024
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