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Qun Wu Md
Adolescent and Children Mental Health Clinic/Center in Chicago, Illinois
NPI 1669730107

Qun Wu Md is an Adolescent and Children Mental Health Clinic/Center based in Chicago, IL and is specialized in Adolescent and Children Mental Health. Qun Wu Md practices in Chicago, IL. The NPI Number for Qun Wu Md is 1669730107 and holds a License No. 036125727 (Illinois).

The current practice location address for Qun Wu Md is 855 W 103Rd St, Chicago, IL and can be reached out via phone at 773-239-9600 and via fax at 773-239-9601.

Location: 855 W 103Rd St, Chicago, IL, 60643-2357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669730107
Provider Name
Qun Wu Md
Credential
Provider Entity Type
Organization
Address
855 W 103Rd St, Chicago, IL, 60643-2357
Phone Number
773-239-9600
Fax Number
773-239-9601
Provider Enumeration Date
05/02/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036125727 05 IL
institution
Provider Business Practice Location Address Details
Address
855 W 103Rd St
City
Chicago
State
Illinois
Zip
60643-2357
Phone Number
773-239-9600
Fax Number
773-239-9601
person
Provider Business Mailing Address Details
Address
855 W 103Rd St
City
Chicago
State
Illinois
Zip
60643-2357
Phone Number
773-239-9600
Fax Number
773-239-9601
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
036125727 (Illinois)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
036125727 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
036125727 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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