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Organization

MIDWEST BEHAVIORAL ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOVITA C ANYANWU M.D. (CEO)
(773) 239-6569
Entity
Organization

Contact information

Practice address
8836 S ASHLAND AVE, CHICAGO, IL 60620-4956
(773) 239-6569
Mailing address
8836 S ASHLAND AVE, CHICAGO, IL 60620-4956
(773) 239-6569

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
12/04/2006
Last updated
09/11/2025
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