Provider Demographics
NPI:1982993994
Name:PSYCHOPHARMACOLOGY CLINICS OF AMERICA, S.C.
Entity Type:Organization
Organization Name:PSYCHOPHARMACOLOGY CLINICS OF AMERICA, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ALAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-928-1000
Mailing Address - Street 1:1200 HARGER RD
Mailing Address - Street 2:SUITE 415
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1805
Mailing Address - Country:US
Mailing Address - Phone:630-928-1000
Mailing Address - Fax:630-928-0020
Practice Address - Street 1:1200 HARGER RD
Practice Address - Street 2:SUITE 415
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1805
Practice Address - Country:US
Practice Address - Phone:630-928-1000
Practice Address - Fax:630-928-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0820132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty