Provider Demographics
NPI:1982873766
Name:MERIDIAN PSYCHIATRIC PARTNERS, LLC
Entity Type:Organization
Organization Name:MERIDIAN PSYCHIATRIC PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FLAVIO
Authorized Official - Middle Name:ADAN
Authorized Official - Last Name:ARANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-640-7732
Mailing Address - Street 1:211 E ONTARIO ST
Mailing Address - Street 2:SUITE 1195
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3468
Mailing Address - Country:US
Mailing Address - Phone:312-640-7740
Mailing Address - Fax:
Practice Address - Street 1:211 E ONTARIO ST
Practice Address - Street 2:SUITE 1195
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3468
Practice Address - Country:US
Practice Address - Phone:312-640-7740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty