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General NPI Number Information
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NPI Number | 1144366907
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Entity Type | Organization
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Legal Business Name | CARE ADVOCATE PSYCHIATRIC MANAGEMENT, INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4700 N WESTERN AVE STE. 1B
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City | CHICAGO
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State | IL
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Zip | 60625-2081
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Country | US
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Telephone | 773-334-8580
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Fax | 773-334-8590
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Provider Business Mailing Address
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Address Line | 4700 N WESTERN AVE STE. 1B
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City | CHICAGO
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State | IL
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Zip | 60625-2081
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Country | US
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Telephone | 773-334-8580
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Fax | 773-334-8590
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Authorized Official
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Title or Position | OWNER
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Name | ROSALINDA ANDALIS
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Credential |
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Telephone | 773-334-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | IL
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