Jai Yesu Psychiatric Services SC
Jai Yesu Psychiatric Services SC is a Psychiatry Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
4711 N Laporte AveChicago, IL 60630-3830
Phone: (540) 467-3615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 036.121203 (IL) |
|---|
Record details
| NPI number | 1336479278 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jose Mathews — President · (540) 467-3615 |
| NPI enumerated | December 27, 2009 |
| Last updated in NPPES | November 8, 2010 |
| Mailing address | 4711 N Laporte Ave, Chicago, IL 60630-3830 |
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