Aeries Healthcare Of Illinois Physician Group
Psychologist, Prescribing (Medical) in Forest Park, Illinois
1083841076- Practice location
- 8311 W Roosevelt RD, Forest Park, IL 60130
- Phone
- 708-209-4150
- Fax
- —
- Last updated
- June 17, 2009
Aeries Healthcare Of Illinois Physician Group is a healthcare organization based in Forest Park, IL. The NPI number for Aeries Healthcare Of Illinois Physician Group is 1083841076. The current practice location address is 8311 W Roosevelt RD, Forest Park, IL 60130 and the office can be reached by phone at 708-209-4150. The NPI was assigned on June 17, 2009 and the record was last updated in NPPES on June 17, 2009.
●Provider Profile Details
- NPI Number
- 1083841076
- Provider Name
- Aeries Healthcare Of Illinois Physician Group
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Psychologist, Prescribing (Medical) · 103TP0016X
- Organization Subpart
- Yes
- Parent Organization
- Riveredege Hospital
- Authorized Official
- Mr. Michael Nelson · Cfo · 708-209-4156
- Enumeration Date
- June 17, 2009
- Last Update Date
- June 17, 2009
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 8311 W Roosevelt RD
Forest Park, IL 60130 - City
- Forest Park
- State
- Illinois
- ZIP
- 60130
- Country
- US
- Phone Number
- 708-209-4150
✉Business Mailing Address
- Address
- Po Box 840936
Dallas, TX 72584 - City
- Dallas
- State
- TX
- ZIP
- 72584
- Phone Number
- 708-209-4152
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychologist, Prescribing (Medical) 193400000X - Single Specialty Group | 103TP0016X | Yes | — | IL |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Forest Park, IL
View all providers in Forest Park →?Frequently Asked Questions
What is the NPI number of Aeries Healthcare Of Illinois Physician Group?
The NPI number of Aeries Healthcare Of Illinois Physician Group is 1083841076. It was assigned on June 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Aeries Healthcare Of Illinois Physician Group?
Aeries Healthcare Of Illinois Physician Group is registered under the primary taxonomy Psychologist, Prescribing (Medical) (code 103TP0016X).
Where does Aeries Healthcare Of Illinois Physician Group practice?
The practice location is 8311 W Roosevelt RD, Forest Park, IL 60130. The office can be reached at 708-209-4150 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083841076 directly on the NPPES registry website at npiregistry.cms.hhs.gov.