Organization
PSYCHIATRIC CONSULTANTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W CHUPREVICH D.O. (OWNER)
(815) 434-6511
Entity
Organization
Contact information
Practice address
110 E. MAIN ST, STE 326, OTTAWA, IL 61350-2900
(815) 434-6511
(815) 434-7151
Mailing address
110 E MAIN ST, STE #326 PSYCHIATRIC CONSULTANTS, LTD, OTTAWA, IL 61350-2900
(815) 434-6511
(815) 434-7151
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036049754
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049754
—
IL
Enumeration date
01/14/2010
Last updated
01/15/2010
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