RUFUS GONZALES PSYCHOTHERPAY LLC NPI 1740795897

NPI Information

NPI: 1740795897
Provider Name: RUFUS GONZALES PSYCHOTHERPAY, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
6238 N CLARK ST
CHICAGO, IL
ZIP 60660
Phone: (708) 512-4854
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RUFUS GONZALES PSYCHOTHERPAY, LLC is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RUFUS GONZALES PSYCHOTHERPAY, LLC NPI is 1740795897. The provider is registered as an organization entity type.

The provider's business location address is:

6238 N CLARK ST
CHICAGO, IL
ZIP 60660-202
Phone: (708) 512-4854

The provider's authorized official is Rufus R Gonzales .
The authorized official title is Owner and has the following contact phone number (708) 512-4854.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/12/2017.

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
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	071007450	ILLINOIS	No
2	261QM0850X	Clinic/Center	Adult Mental Health	071007450	ILLINOIS	Yes

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

NPI Synchronization or Removal

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