OrganizationActive
Aeries Healthcare of Illinois Physician Group
NPI 1083841076 · Prescribing (Medical) Psychologist · Forest Park, IL
Provider details
- NPI number
- 1083841076
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Riveredege Hospital
- Organization subpart
- Yes
- Authorized official
- Michael Nelson, Cfo(708) 209-4156
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8311 W Roosevelt Rd
Forest Park, IL 60130
Phone: (708) 209-4150
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 840936
Dallas, TX 72584
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2009-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.