Fort Health Medical Group PA
NPI #1972342046 in Springfield, Illinois
Provider Information
- NPI Number
- 1972342046
- Entity Type
- Organization
- Organization Name
- Fort Health Medical Group PA
- Primary Specialty
- Psychiatry & Neurology - Child & Adolescent Psychiatry
- Enumeration Date
- May 20, 2024
- Last Updated
- Mar 26, 2025
Practice Location
- Address
- 600 S 2ND ST STE 404
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-2542
- Phone
- (201) 208-2616
Authorized Official
- Name
- TRACI CROSBY
- Title
- CREDENTIALING MANAGER
- Phone
- (201) 503-4815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
| Social Worker - Clinical — Clinical |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry |
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