John T Raftery Christian Raftery

LBN: Michigan Ave Psychiatry & Counseling Center
John T Raftery Christian Raftery is an health care organization with primary practice located at 30 N Michigan Avenue Suite 1109, Chicago IL 60602. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Michigan Ave Psychiatry & Counseling Center can be contacted via phone (312) 220-0537, or through Raftery, John Thomas via phone (312) 220-0537.

Contact Information

Primary practice address
30 N Michigan Avenue Suite 1109 Chicago IL 60602
Phone: (312) 220-0537
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raftery, John Thomas Doctor of Medicine (MD)
Phone: (312) 220-0537

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1578690970
LBN Legal business name Michigan Ave Psychiatry & Counseling Center
DBA Doing business as John T Raftery Christian Raftery
Authorized official Raftery, John Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578690970 NPPES
Illinois Other 0021608116 BCBS

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