Provider Demographics
NPI:1073314290
Name:AAG PSYCHIATRY & CONSULTING
Entity type:Organization
Organization Name:AAG PSYCHIATRY & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVANGELINE
Authorized Official - Middle Name:UZOAMAKA CHINELO
Authorized Official - Last Name:ANEKE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:347-843-1000
Mailing Address - Street 1:927 S BELL AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4254
Mailing Address - Country:US
Mailing Address - Phone:347-843-1000
Mailing Address - Fax:
Practice Address - Street 1:927 S BELL AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4254
Practice Address - Country:US
Practice Address - Phone:347-843-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health