Andersonville Psychology, Pc

LBN: Andersonville Psychology, Pc
Andersonville Psychology, Pc is an health care organization with primary practice located at 5412 N Clark St Ste 220 , Chicago IL 60640-1272. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Andersonville Psychology, Pc can be contacted via phone (773) 985-8746, or through Smith, Jonathan via phone (773) 985-8746.

Contact Information

Primary practice address
5412 N Clark St Ste 220 Chicago IL 60640-1272
Phone: (773) 985-8746
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Jonathan PSYD
Phone: (773) 985-8746

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.009490 Illinois

Profile Details

NPI number 1962924829
LBN Legal business name Andersonville Psychology, Pc
DBA Doing business as
Authorized official Smith, Jonathan PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2017
Last updated Jul 12th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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