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NPI Code Detail

MEDICARE: UHS OF HARTGROVE, INC.

MEDICARE: UHS OF HARTGROVE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center
3103TP2701XGroup Psychotherapy Psychologist
4103TC0700XClinical Psychologist
52084P0800XPsychiatry Physician
6103TC2200XClinical Child & Adolescent Psychologist
7103TF0000XFamily Psychologist
82084P0804XChild & Adolescent Psychiatry Physician
9283Q00000XPsychiatric Hospital00C5454IL

General Provider Information

NPI Number : 1396012951
Entity Type Code : Organization
Provider Name (Legal Business Name) : UHS OF HARTGROVE, INC.
Provider Business Mailing Address
First Line : 5730 W ROOSEVELT ROAD
Second Line :
City : CHICAGO
State : IL
Zip : 60644-1580
Country : US
Telephone Number : 773-413-1700
Fax Number : 773-413-1805
Provider Business Practice Location Address
First Line : 5730 W ROOSEVELT ROAD
Second Line :
City : CHICAGO
State : IL
Zip : 60644-1580
Country : US
Telephone Number : 773-413-1700
Fax Number : 773-413-1805
Authorized Official
Title or Position : SR VP CFO
Name : STEVE FILTON
Credential :
Telephone Number : 610-768-3300
Provider Enumeration Date : 11/28/2011
Last Update Date : 04/21/2026

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