Organization
SELECT PSYCHIATRIC MANAGEMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAEEM AKHTAR QURESHI MD (MEMBER MANAGER)
(618) 998-0888
Entity
Organization
Contact information
Practice address
100 DR WARREN TUTTLE DR, HARRISBURG, IL 62946-2718
(618) 252-0999
(618) 252-2032
Mailing address
112 AIRWAY DR, MARION, IL 62959-5841
(618) 998-0888
(618) 993-1808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094666
—
IL
Enumeration date
07/01/2011
Last updated
07/01/2011
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