Wellspring Clinical Associates, INC.
Psychiatry & Neurology, Psychiatry in Lisle, IL. Organization (NPI-2).
NPI number1164562609
StatusActive
Last updated in NPPESOct 7, 2009
Details
- NPI
- 1164562609
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellspring Clinical Associates, INC.
- Organization subpart
- No
- Enumeration date
- Feb 7, 2007
- Last updated
- Oct 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Other names
- Integrated Healthcare Solutions INC (Former Legal Business Name)
Practice location
5950 Lincoln AveUnit W
Lisle, IL 60532-3388
Phone 630-541-8930 · Fax 630-541-8940
Mailing address
5950 Lincoln AveUnit W
Lisle, IL 60532-3388
Phone 630-541-8930 · Fax 630-541-8940
Authorized official
Thomas Leo Dimatteo
President
6305418930
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