Organization
JA LYNN PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADA JOHNSON M.D. (MANAGER)
(773) 991-0768
Entity
Organization
Contact information
Practice address
3628 S PRAIRIE AVE, CHICAGO, IL 60653-1009
(773) 991-0768
Mailing address
3628 S PRAIRIE AVE, CHICAGO, IL 60653-1009
(773) 991-0768
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036123239
IL
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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