Department Of Psychiatry

LBN: The Board Of Trustees Of The University Of Illinois
Department Of Psychiatry is an health care organization with primary practice located at 912 S Wood St , Chicago IL 60612-4300. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. The Board Of Trustees Of The University Of Illinois can be contacted via phone (312) 413-3783, or through Prabhakar, Sunita via phone (312) 413-3783.

Contact Information

Primary practice address
912 S Wood St Chicago IL 60612-4300
Phone: (312) 413-3783
Fax: (312) 996-3514
Website:
Map and Directions
Authorized official contact:
Name: Prabhakar, Sunita MS, CPC
Phone: (312) 413-3783

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1609822147
LBN Legal business name The Board Of Trustees Of The University Of Illinois
DBA Doing business as Department Of Psychiatry
Authorized official Prabhakar, Sunita MS, CPC
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Dec 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609822147 NPPES
Illinois Other 203465 MEDICARE APN/CNS
Illinois Other 01618662 MEDICARE APN/CNS

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