Organization
SOUTHWEST PSYCHIATRIC SERVICES, SC
Active
Organization
SOUTHWEST PSYCHIATRIC SERVICES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SCOTT BARTUSKA MD (PRESIDENT)
(708) 478-6470
Entity
Organization
Contact information
Practice address
11512 W 183RD ST, SUITE NE, ORLAND PARK, IL 60467-9406
(708) 478-6470
(708) 478-6471
Mailing address
11512 W 183RD ST, SUITE NE, ORLAND PARK, IL 60467-9406
(708) 478-6470
(708) 478-6471
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623641
BLUE CROSS
IL
Enumeration date
10/28/2006
Last updated
08/22/2020
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