OrganizationActive
395061 Med Eval
NPI 1508034414 · Psychiatric Hospital Unit · Chicago, IL
Provider details
- NPI number
- 1508034414
- Entity type
- Organization
- Primary specialty
- Psychiatric Hospital UnitHospital Units
- Parent organization
- Idhs Chicago-Read Mental Health Center
- Authorized official
- Angie Tansor, Reimbursement Officer I
Practice location
4200 North Oak Park Avenue
Chicago, IL 60634-1417
Phone: (773) 794-3733
Fax: (773) 794-4046
Mailing address
4200 North Oak Park Avenue
Chicago, IL 60634-1417
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2008-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.