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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
1103T00000XPsychologist
2103TB0200XCognitive & Behavioral Psychologist
3103TC0700XClinical Psychologist
4103TC1900XCounseling Psychologist
5103TC2200XClinical Child & Adolescent Psychologist
6103TF0000XFamily Psychologist
7103TP0016XPrescribing (Medical) Psychologist
8103TP2701XGroup Psychotherapy Psychologist
92084N0600XClinical Neurophysiology Physician
102084P0800XPsychiatry Physician
11283Q00000XPsychiatric Hospital0005454IL
122084P0804XChild & Adolescent Psychiatry Physician

General Provider Information

NPI Number : 1538560339
Entity Type Code : Organization
Provider Name (Legal Business Name) : UHS OF HARTGROVE, INC
Provider Business Mailing Address
First Line : 5730 W ROOSEVELT RD
Second Line :
City : CHICAGO
State : IL
Zip : 60644-1580
Country : US
Telephone Number : 773-413-1805
Fax Number :
Provider Business Practice Location Address
First Line : 1111 E 87TH ST
Second Line : SUITE 300
City : CHICAGO
State : IL
Zip : 60619-7038
Country : US
Telephone Number : 773-413-1818
Fax Number : 773-437-3345
Authorized Official
Title or Position : SR VP CFO
Name : STEVE FILTON
Credential :
Telephone Number : 610-768-3300
Provider Enumeration Date : 09/11/2014
Last Update Date : 09/09/2016

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Directions to “UHS OF HARTGROVE, INC ” Practice Location

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