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NPI Code Detail

MEDICARE: NAPERVILLE PSYCHIATRIC VENTURES

MEDICARE: NAPERVILLE PSYCHIATRIC VENTURES
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
1283Q00000XPsychiatric Hospital0005058IL

General Provider Information

NPI Number : 1619910460
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAPERVILLE PSYCHIATRIC VENTURES
Provider Business Mailing Address
First Line : 801 S WASHINGTON ST
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-7430
Country : US
Telephone Number : 630-305-5500
Fax Number :
Provider Business Practice Location Address
First Line : 801 S WASHINGTON ST
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-7430
Country : US
Telephone Number : 630-305-5500
Fax Number :
Authorized Official
Title or Position : VP, HOSPITAL PFS
Name : MR. SHAUN WALDER
Credential :
Telephone Number : 630-646-3702
Provider Enumeration Date : 06/13/2006
Last Update Date : 04/20/2026

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Directions to “NAPERVILLE PSYCHIATRIC VENTURES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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