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NPI Code Detail

MEDICARE: BLH THERAPY GROUP, P.A.

MEDICARE: BLH THERAPY GROUP, P.A.
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1376373365
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLH THERAPY GROUP, P.A.
Provider Business Mailing Address
First Line : 225 N COLUMBUS DR UNIT 5409
Second Line :
City : CHICAGO
State : IL
Zip : 60601-5269
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 N COLUMBUS DR UNIT 5409
Second Line :
City : CHICAGO
State : IL
Zip : 60601-5269
Country : US
Telephone Number : 312-248-3406
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARK ELLIOTT
Credential : MD
Telephone Number : 312-248-3406
Provider Enumeration Date : 08/05/2024
Last Update Date : 06/01/2026

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Directions to “BLH THERAPY GROUP, P.A. ” Practice Location

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