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Aeries Healthcare Of Illinois Physician Group
Prescribing (Medical) Psychologist in Forest Park, Illinois
NPI 1083841076

Aeries Healthcare Of Illinois Physician Group is a Prescribing (Medical) Psychologist based in Dallas, IL and is specialized in Prescribing (Medical). Aeries Healthcare Of Illinois Physician Group practices in Forest Park, IL. The NPI Number for Aeries Healthcare Of Illinois Physician Group is 1083841076 and holds a License No. (Illinois).

The current practice location address for Aeries Healthcare Of Illinois Physician Group is 8311 W Roosevelt Rd, Forest Park, IL and can be reached out via phone at 708-209-4150.

Location: 8311 W Roosevelt Rd, Forest Park, IL, 72584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083841076
Provider Name
Aeries Healthcare Of Illinois Physician Group
Credential
Provider Entity Type
Organization
Address
8311 W Roosevelt Rd, Forest Park, IL, 72584
Phone Number
708-209-4150
Fax Number
Provider Enumeration Date
06/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8311 W Roosevelt Rd
City
Forest Park
State
Illinois
Zip
60130
Phone Number
708-209-4150
Fax Number
person
Provider Business Mailing Address Details
Address
8311 W Roosevelt Rd
City
Forest Park
State
Illinois
Zip
60130
Phone Number
708-209-4150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
(Illinois)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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