Organization
JOLIET BEHAVIORAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COSME O LOZANO M.D. (OWNER)
(630) 408-1099
Entity
Organization
Contact information
Practice address
210 N HAMMES AVE, SUITE 205, JOLIET, IL 60435-6680
(815) 729-7790
(815) 725-8144
Mailing address
210 N HAMMES AVE, SUITE 205, JOLIET, IL 60435-6680
(815) 729-7790
(815) 725-8144
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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