AERIES HEALTHCARE OF ILLINOIS PHYSICIAN GROUP is a prescribing (medical) psychologist in Forest Park, IL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. AERIES HEALTHCARE OF ILLINOIS PHYSICIAN GROUP NPI is 1083841076. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
8311 W ROOSEVELT RD
FOREST PARK, IL
ZIP 60130
Phone: (708) 209-4150
The provider's authorized official is Michael Nelson .
The authorized official title is Cfo and has the following contact phone number (708) 209-4156.
The enumeration date for this NPI number is 6/17/2009 and was last updated on 6/17/2009.