Main St. Psychiatry, S.C.

LBN: Main St. Psychiatry, S.C.
Main St. Psychiatry, S.C. is an health care organization with primary practice located at 5911 Northwest Hwy , Crystal Lake IL 60014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Main St. Psychiatry, S.C. can be contacted via phone (847) 542-9780, or through Parks, Joanne Gail via phone (815) 526-3781.

Contact Information

Primary practice address
5911 Northwest Hwy Crystal Lake IL 60014
Phone: (847) 542-9780
Fax: (224) 655-2910
Website:
Map and Directions
Authorized official contact:
Name: Parks, Joanne Gail Doctor of Medicine (MD)
Phone: (815) 526-3781

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36-086270 Illinois

Profile Details

NPI number 1346756491
LBN Legal business name Main St. Psychiatry, S.C.
DBA Doing business as
Authorized official Parks, Joanne Gail Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2017
Last updated Aug 21st, 2018 - about 6 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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