Organization
NEUROPSYCHIATRIC SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTO ANTONIO V DIZON M.D. (PRESIDENT)
(847) 212-9809
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE STE 403, CHICAGO, IL 60622-2743
(847) 212-9809
Mailing address
1211 S PRAIRIE AVE, SUITE 5505, CHICAGO, IL 60605-3645
(847) 212-9809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036085219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36085219
—
IL
Enumeration date
04/16/2008
Last updated
08/22/2024
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