Organization
ADVANCED PSYCHIATRY OF ELGIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEATHA HOWEN (OFFICE MANAGER)
(847) 783-0307
Entity
Organization
Contact information
Practice address
2130 POINT BLVD, SUITE 200, ELGIN, IL 60123-9215
(847) 783-0307
Mailing address
2130 POINT BLVD, SUITE 200, ELGIN, IL 60123-9215
(847) 783-0307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
036111811
IL
1041C0700X
Clinical Social Worker
149004898
IL
1041C0700X
Clinical Social Worker
149016112
IL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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