The Plains Clinic
Psychiatry & Neurology, Child & Adolescent Psychiatry in Geneva, IL. Organization (NPI-2).
NPI number1215652011
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1215652011
- Entity type
- Organization (NPI-2)
- Legal business name
- The Plains Clinic
- Organization subpart
- No
- Enumeration date
- Oct 5, 2022
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | Yes |
Practice location
1541 E Fabyan Pkwy Ste 101Geneva, IL 60134-4105
Phone 630-845-9644 · Fax 630-845-9678
Mailing address
1541 E Fabyan PkwyGeneva, IL 60134-4105
Phone 630-845-9644 · Fax 630-845-9678
Authorized official
Angel Heredia MD
President
6308459644
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