Organization
ROCFKFORD PSYCHIATRIC MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GIAKAS MD (PRESIDENT)
(815) 395-1500
Entity
Organization
Contact information
Practice address
1639 N ALPINE RD, SUITE 260, ROCKFORD, IL 61107-1449
(815) 395-1500
(815) 395-1415
Mailing address
1639 N ALPINE RD, SUITE 260, ROCKFORD, IL 61107-1449
(815) 395-1500
(815) 395-1415
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
IL
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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