Organization
PEACE PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AASTA I KNOX NP (OWNER)
(708) 295-1221
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE R, SPRINGFIELD, IL 62704-4188
(312) 442-0270
Mailing address
609 RIDGE RD # 162, MUNSTER, IN 46321-1609
(708) 951-2212
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
04/23/2023
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