Organization
GENESIS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRYD EDWARD MCGUIRE APRN (OWNER)
(815) 408-0988
Entity
Organization
Contact information
Practice address
125 W MAPLE ST, NEW LENOX, IL 60451-1739
(815) 408-0988
(815) 408-1081
Mailing address
125 W MAPLE ST, NEW LENOX, IL 60451-1739
(815) 408-0988
(815) 408-1081
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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