Churchwell Psychiatry, S.C.

LBN: Churchwell Psychiatry, S.C.
Churchwell Psychiatry, S.C. is an health care organization with primary practice located at 636 Church St Ste 409A , Evanston IL 60201-4580. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Churchwell Psychiatry, S.C. can be contacted via phone (312) 239-3951, or through Churchwell, Michael Thomas via phone (312) 239-3951.

Contact Information

Primary practice address
636 Church St Ste 409A Evanston IL 60201-4580
Fax: (888) 835-4696
Website:
Authorized official contact:
Name: Churchwell, Michael Thomas Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 042620450 Illinois

Profile Details

NPI number 1356717151
LBN Legal business name Churchwell Psychiatry, S.C.
DBA Doing business as
Authorized official Churchwell, Michael Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2015
Last updated Aug 15th, 2015 - about 9 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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