Organization
OUTPATIENT BEHAVIORAL HEALTH SERVICES OF ILLINOIS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH TAMPI (OWNER)
(888) 515-3834
Entity
Organization
Contact information
Practice address
10 S RIVERSIDE PLZ STE 875, CHICAGO, IL 60606-3717
(888) 515-3834
Mailing address
PO BOX 67303, NEWARK, NJ 07101-4006
(888) 515-3834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/15/2022
Last updated
01/20/2023
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