Suburban Clinical Services P C

LBN: Suburban Clinical Services P C
Suburban Clinical Services P C is an health care organization with primary practice located at 222 N Marion St , Oak Park IL 60302-1968. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Suburban Clinical Services P C can be contacted via phone (708) 795-4747, or through Moor, Gulliume via phone (708) 795-4747.

Contact Information

Primary practice address
222 N Marion St Oak Park IL 60302-1968
Phone: (708) 795-4747
Fax: (708) 383-2578
Website:
Map and Directions
Authorized official contact:
Name: Moor, Gulliume PSY.D.
Phone: (708) 795-4747

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071002653 Illinois

Profile Details

NPI number 1801912019
LBN Legal business name Suburban Clinical Services P C
DBA Doing business as
Authorized official Moor, Gulliume PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Nov 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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