Maple Street Clinic Ltd
Maple Street Clinic Ltd is a Psychiatry Physician in Lawrenceville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1401 15th StLawrenceville, IL 62439-2223
Phone: (618) 839-4618
Fax: (618) 943-1700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 036072942 (IL) |
|---|
Record details
| NPI number | 1245252204 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Linda Hungerford — President · (618) 839-1561 |
| NPI enumerated | July 25, 2006 |
| Last updated in NPPES | March 19, 2014 |
| Mailing address | 1401 15th St, Lawrenceville, IL 62439-2223 |