Progressive Clinical Therapies LTD

Organization Active NPI Psychiatry Physician · Minooka, IL

NPI 1043857949 · NPPES record last updated Dec 10, 2019

Key facts

NPI
1043857949
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
PROGRESSIVE CLINICAL THERAPIES LTD
Practice address
305 San Carlos Rd
Minooka, IL 60447-9246
Phone
(815) 666-4543
NPI assigned
Dec 10, 2019
Organization subpart
No

Authorized official

Name
Dr. Paulette C Trum, MD
Title
Provider
Phone
(815) 666-4543

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084P0800X Yes

Addresses

Primary practice location

305 San Carlos Rd
Minooka, IL 60447-9246

Mailing address

305 San Carlos Rd
Minooka, IL 60447-9246
Phone (815) 666-4543

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL MINOOKA

Other providers in Minooka, IL

All providers in Minooka, IL · Psychiatry Physician in Illinois

Sources for this page

Verify at the official NPI Registry.