Aeries Healthcare of Illinois Physician Group
NPI #1083841076 in Forest Park, Illinois
Provider Information
- NPI Number
- 1083841076
- Entity Type
- Organization
- Organization Name
- Aeries Healthcare of Illinois Physician Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RIVEREDEGE HOSPITAL
- Primary Specialty
- Psychologist - Prescribing (Medical)
- Enumeration Date
- Jun 17, 2009
- Last Updated
- Jun 17, 2009
Practice Location
- Address
- 8311 W ROOSEVELT RD
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130
- Phone
- (708) 209-4150
Authorized Official
- Name
- MR. MICHAEL NELSON
- Title
- CFO
- Phone
- (708) 209-4156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Prescribing (Medical) — Prescribing (Medical) |
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