Granite City Psychiatry LLC
NPI #1013269984 in Granite City, Illinois
Provider Information
- NPI Number
- 1013269984
- Entity Type
- Organization
- Organization Name
- Granite City Psychiatry LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 2, 2012
- Last Updated
- Oct 2, 2012
Practice Location
- Address
- 2120 MADISON AVE
- Address 2
- SUITE 405
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4744
- Phone
- (618) 876-0653
Authorized Official
- Name
- KARL GUNDERSEN, MD
- Title
- MEMBER
- Phone
- (618) 876-0653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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