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Contact Information

S & T MENTAL WELLNESS CENTER INC
320 W 83RD ST STE A
CHICAGO, IL60620-1704
 Phone: 815-741-4758
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Psychiatric/Mental Health, Geropsychiatric

364SP0813X 89 Certified Clinical Nurse Specialist
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for S T MENTAL WELLNESS CENTER INC · (Female)

NPI # 1063136307
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2022
Last updated 09/29/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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