Provider Demographics
NPI:1750499265
Name:PALADIN LLC
Entity Type:Organization
Organization Name:PALADIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-649-1813
Mailing Address - Street 1:858 N CLARK ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-6804
Mailing Address - Country:US
Mailing Address - Phone:312-649-1813
Mailing Address - Fax:312-649-1815
Practice Address - Street 1:858 N CLARK ST
Practice Address - Street 2:SUITE 203
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-6804
Practice Address - Country:US
Practice Address - Phone:312-649-1813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty