Afg Guidance Center LTD
Organization Active NPI Child & Adolescent Psychiatry Physician · Evanston, IL
NPI 1295985786 · NPPES record last updated Sep 22, 2008
Key facts
- NPI
- 1295985786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 036092952 (IL)
- Legal business name
- AFG GUIDANCE CENTER LTD
- Practice address
- 820 Sheridan Rd
Evanston, IL 60202-2513 - Phone
- (847) 733-1461
- Fax
- (847) 733-1470
- NPI assigned
- Sep 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Alfreda Falkowska-Grosrenaud, MD
- Title
- Ceo
- Phone
- (847) 733-1461
Practitioners 8
-
Tanner Hoegh, LPC
-
Elena B. Labkovsky, PH.D.
-
Birju Patel, MD
-
Urooj Yazdani, MD, M.ED.
National Provider Directory
Locations
1622 Willow Rd
Ste 200
Northfield, IL 60093
Phone (847) 853-0234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician |
2084P0804X | 036092952 | IL | Yes |
Addresses
Primary practice location
820 Sheridan Rd
Evanston, IL 60202-2513
Mailing address
820 Sheridan Rd
Evanston, IL 60202-2513
Phone (847) 733-1461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092952 | Medicaid | IL |
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All providers in Evanston, IL · Child & Adolescent Psychiatry Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.