HEALING HANDS RESOURCE CENTER STREATOR


Address: 2128 S Central Park Ave, Chicago, IL 60623-3113
Phone: 7734676967

HEALING HANDS RESOURCE CENTER STREATOR (NPI# 1720699176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720699176
Entity Type Organization
Organization Name HEALING HANDS RESOURCE CENTER STREATOR
Practice Address 2128 S Central Park Ave
Chicago
IL 60623-3113
Mailing Address 1022 N Kedzie Ave
Chicago
IL 60651-4128
Practice Telephone 7734676967
Practice Fax Number 7735729553
Mailing Telephone 7734676967
Mailing Fax Number 7735729553
Enumeration Date 2020-08-10
Last Update Date 2020-08-10
Authorized Official Name VALENCIA GREEN (CEO)
Authorized Official Telephone 7734676967
Authorized Official Credential MD, MPH
Is Organization Subpart Y
Parent Organization Name HEALING HANDS RESOURCE CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Healing Hands Resource Center -- Central Pk Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750822763 Healing Hands Resource Center Streator Clinic/Center 401 W Bridge St, Streator, IL 61364-2705 2017-03-10

Office Location

Street Address 2128 S CENTRAL PARK AVE
City CHICAGO
State IL
Zip Code 60623-3113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629681093 Healing Hands Resource Center Family Medicine 2128 S Central Park Ave, Chicago, IL 60623-3113 2020-08-26

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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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Competitor

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City CHICAGO
Zip Code 60623

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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