Phoenix Healthcare Services LLC

NPI #1285680645 in Chicago, Illinois

Provider Information

NPI Number
1285680645
Entity Type
Organization
Organization Name
Phoenix Healthcare Services LLC
Primary Specialty
Psychologist - Group Psychotherapy
Enumeration Date
May 26, 2006
Last Updated
Apr 9, 2008

Practice Location

Address
7324 N WESTERN AVE
ZIP Code
60645-1814
Phone
(773) 465-4555

Authorized Official

Name
DR. JOEL MOSTOW, MD
Title
DELEGATED OFFICIAL
Phone
(773) 465-4555

Specialties & Taxonomy Codes

Specialty
Psychologist - Group PsychotherapyGroup Psychotherapy

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