Organization
AHEAD ILLINOIS MEDICAL SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HU (OWNER)
(855) 306-7786
Entity
Organization
Contact information
Practice address
1 E ERIE ST STE 525, CHICAGO, IL 60611-2980
(855) 306-7786
(415) 367-3629
Mailing address
1 E ERIE ST STE 525, CHICAGO, IL 60611-2980
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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