Organization
SPECIALIZED HEALTH CARE SERVICES INC.
Active
Parent organization
SPECIALIZED HEALTH CARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALIZED HEALTH CARE SERVICES
Authorized official
REGINA DIANA LEWIS (CEO/OWNER)
(773) 688-5092
Entity
Organization
Contact information
Practice address
4909 W HURON ST, CHICAGO, IL 60644-1334
(773) 688-5092
(773) 379-6983
Mailing address
4909 W HURON ST, CHICAGO, IL 60644-1334
(773) 688-5092
(773) 379-6983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/08/2013
Last updated
04/13/2020
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