Organization
PREMIER PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRYD EDWARD MCGUIRE APN (NURSE PRACTITIONER)
(815) 408-0988
Entity
Organization
Contact information
Practice address
125 W MAPLE ST, NEW LENOX, IL 60451-1739
(815) 408-0988
(815) 697-4326
Mailing address
125 W MAPLE ST, NEW LENOX, IL 60451-1739
(815) 408-0988
(815) 408-1081
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
08/07/2024
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