| Insight Chicago, Inc. | |
|
2525 S Michigan Ave Chicago IL 60616-2333 | |
| (312) 567-2000 | |
| (312) 567-6156 |
| Full Name | Insight Chicago, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2525 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Robin Cole (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8102759333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Chicago, Inc. Po Box 776473 Chicago IL 60677-6473 Ph: (312) 567-2000 | Insight Chicago, Inc. 2525 S Michigan Ave Chicago IL 60616-2333 Ph: (312) 567-2000 |
| NPI Number | 1043297401 |
|---|---|
| Provider Enumeration Date | 12/28/2005 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Medicare PECOS PAC ID | 2860894706 |
|---|---|
| Medicare Enrollment ID | O20210723003057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043297401 | NPI | - | NPPES |
| 11727 | Other | IL | CITY OF CHICAGO |
| 362170152004 | Medicaid | IL | |
| 362170152001 | Medicaid | IL | |
| 006247 | Other | IL | STATE OF ILLINOIS LICENSE |
| 00035 | Other | IL | BCBSIL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 362170152 (Illinois) | Primary |
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