Provider Type Icon

MERIDIAN PHYSICIAN GROUP PLLC NPI 1811514532


NPI Information

NPI: 1811514532
Provider Name: MERIDIAN PHYSICIAN GROUP PLLC

Doing Business As: MERIDIAN PHYSICIAN GROUP PLLC

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
645 S CENTRAL AVE
CHICAGO, IL
ZIP 60644
Phone: (773) 626-4300
Get Directions

MERIDIAN PHYSICIAN GROUP PLLC is a psychiatry psychiatry neurology in Chicago, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MERIDIAN PHYSICIAN GROUP PLLC NPI is 1811514532. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Meridian Physician Group Pllc.

The provider's business location address is:

645 S CENTRAL AVE
CHICAGO, IL
ZIP 60644-059
Phone: (773) 626-4300

The provider's authorized official is Ramon Flores .
The authorized official title is Principal Owner and has the following contact phone number (312) 888-9153.

The enumeration date for this NPI number is 6/29/2020 and was last updated on 11/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RG0100XInternal MedicineGastroenterologyNo
42084P0800XPsychiatry & NeurologyPsychiatryYes
5208600000XSurgeryNo
6208D00000XGeneral PracticeNo
7213E00000XPodiatristNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.