Organization
WEST SUBURBAN MULTI-SPECIALTY MEDICAL SERVICES ASSOCIATION SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CULLINANE (PRESIDENT)
(630) 834-1557
Entity
Organization
Contact information
Practice address
386 N YORK RD, SUITE 100, ELMHURST, IL 60126-2363
(630) 834-1557
Mailing address
386 N YORK RD, SUITE 100, ELMHURST, IL 60126-2363
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/05/2006
Last updated
07/26/2013
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