Organization
SPECTRUM PRIVATE CLIENT
Active
Parent organization
SPECTRUM BA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM BA
Authorized official
SHEILA MOFFETT (OFFICE ADMINISTRATOR)
(773) 316-2317
Entity
Organization
Contact information
Practice address
201 E OGDEN AVE STE 118, HINSDALE, IL 60521-3776
(630) 270-7717
Mailing address
201 E OGDEN AVE STE 118, HINSDALE, IL 60521-3776
(630) 270-7717
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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