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WELLSPRING CLINICAL ASSOCIATES INC. NPI 1164562609


NPI Information

NPI: 1164562609
Provider Name: WELLSPRING CLINICAL ASSOCIATES, INC.

Former Legal Business Name: INTEGRATED HEALTHCARE SOLUTIONS INC

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

Specialization: Psychiatry

Address:
5950 LINCOLN AVE
UNIT W
LISLE, IL
ZIP 60532
Phone: (630) 541-8930
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WELLSPRING CLINICAL ASSOCIATES, INC. is a psychiatry psychiatry neurology in Lisle, 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. WELLSPRING CLINICAL ASSOCIATES, INC. NPI is 1164562609. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Integrated Healthcare Solutions Inc.

The provider's business location address is:

5950 LINCOLN AVE
UNIT W
LISLE, IL
ZIP 60532-388
Phone: (630) 541-8930
Fax: (630) 541-8940

The provider's authorized official is Thomas Leo Dimatteo .
The authorized official title is President and has the following contact phone number (630) 541-8930.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 10/7/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1022-32842OTHERBC/BS
202232842OTHERILLINOISBLUE CROSS BLUE SHIELD
302227624OTHERBLUE CROSS BLUE SHIELD

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: 5/5/2024

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