Evanston Hospital - Psych Unit | |
2650 Ridge Ave Evanston IL 60201-1718 | |
(847) 570-2000 | |
(847) 570-5240 |
Full Name | Evanston Hospital - Psych Unit |
---|---|
Speciality | Psychiatric Unit |
Location | 2650 Ridge Ave, Evanston, Illinois |
Authorized Official Name and Position | Douglas D Welday (CFO) |
Authorized Official Contact | 8475705099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evanston Hospital - Psych Unit 1301 Central St Evanston IL 60201-1613 Ph: (847) 570-2000 | Evanston Hospital - Psych Unit 2650 Ridge Ave Evanston IL 60201-1718 Ph: (847) 570-2000 |
NPI Number | 1093755340 |
---|---|
Provider Enumeration Date | 06/07/2006 |
Last Update Date | 09/18/2020 |
Certification Date | 09/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093755340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 0000646 (Illinois) | Primary |
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