PHILIP K MCCULLOUGH MD SC NPI 1003017864

Psychiatry & Neurology (Psychiatry) in Chicago, IL

NPI 1003017864 Organization Psychiatry & Neurology Psychiatry

About PHILIP K MCCULLOUGH MD SC

Philip K Mccullough Md Sc is a provider established in Chicago, Illinois specializing in psychiatry & neurology (psychiatry) . The NPI number of Philip K Mccullough Md Sc is 1003017864 and was assigned on May 2007. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated one year ago. Philip K Mccullough Md Sc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Philip K Mccullough Md (President)

A psychiatrist like Philip K Mccullough Md Sc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

NPI

1003017864

Provider NamePHILIP K MCCULLOUGH MD SC
Provider Location Address201 E HURON ST SUITE 11-100 CHICAGO, IL 60611
Provider Mailing Address201 E HURON ST SUITE 11-100 CHICAGO, IL 60611
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-30-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License StateIL
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

PHILIP K MCCULLOUGH MD SC
201 E HURON ST
SUITE 11-100
CHICAGO, IL
ZIP 60611
Phone: (312) 695-3680
Fax: (312) 926-3709

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Mailing Address

PHILIP K MCCULLOUGH MD SC
201 E HURON ST
SUITE 11-100
CHICAGO, IL
ZIP 60611
Phone: (312) 695-3680
Fax: (312) 926-3709



Authorized Official

Authorized Official Name PHILIP K MCCULLOUGH MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(312) 695-3680

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
01635513OTHER (01)IL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295732857DR. MICHAEL MARK MINIEKA M.D.
Individual
Psychiatry & Neurology (Neurology)201 E HURON ST STE 11-100
CHICAGO, IL 60611
(312) 926-3731
1598753212DR. ALEXIS B OLSSON DDS
Individual
Oral & Maxillofacial Surgery201 E HURON ST 12-100
CHICAGO, IL 60611
(312) 926-6333
1346223922MS. ANNE FUREY SCHULTZ M.D.
Individual
Internal Medicine201 E HURON ST SUITE 12-105
CHICAGO, IL 60611
(312) 926-3627
1821073172DR. EDWARD J. OLINGER M.D.
Individual
Internal Medicine (Gastroenterology)201 E HURON ST SUITE 12-200
CHICAGO, IL 60611
(312) 926-3616
1548247794DR. EUSTATHIA J. PANOUSHIS M.D.
Individual
Pediatrics201 E HURON ST GALTER AMBULATORY PAVILLION SUITE 12-260
CHICAGO, IL 60611
(312) 926-9570
1164491858 ELIZABETH J LAVOO M.D.
Individual
Dermatology201 E HURON ST GALTER PAV 11-230
CHICAGO, IL 60611
(312) 642-6868
1104888700DR. THOMAS A. STOCKERT M.D.
Individual
Internal Medicine201 E HURON ST STE 12-205
CHICAGO, IL 60611
(312) 944-0688
1952367054 JAMES HENRY COHN MD
Individual
Internal Medicine201 E HURON ST SUITE 11-200
CHICAGO, IL 60611
(312) 943-8566
1447216544 JOHN PATTERSON GERBER M.D.
Individual
Psychiatry & Neurology (Psychiatry)201 E HURON ST SUITE 11-100
CHICAGO, IL 60611
(312) 695-0448
1891749776 SENTA BERGGRUEN MD
Individual
Radiology (Diagnostic Radiology)201 E HURON ST 4TH FLOOR
CHICAGO, IL 60611
(312) 695-3755
1891740627 GREGORY E BRISSON M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR, SUITE 105
CHICAGO, IL 60611
(312) 926-6146
1780639930 ERIC BREHM M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR , SUITE 105
CHICAGO, IL 60611
(312) 926-3627
1386690857 ANITA CHANDRA-PURI
Individual
Pediatrics201 E HURON ST 12TH FL. SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1962440727DR. FRANCISCO ALBERTO GUTIERREZ MD
Individual
Specialist201 E HURON ST SUITE 9-160
CHICAGO, IL 60611
(312) 926-3430
1912947458 DANIEL M DERMAN M.D.
Individual
Internal Medicine201 E HURON ST 12TH FLOOR, SUITE 105
CHICAGO, IL 60611
(312) 926-3642
1972544328 PETER A LECHMAN M.D.
Individual
Pediatrics201 E HURON ST 12TH FLOOR, SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1790726651 ALYSE EYTAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)201 E HURON ST 9-235
CHICAGO, IL 60611
(312) 926-3540
1538102652 THERESA KARACIC M.D.
Individual
Pediatrics201 E HURON ST 12TH FLOOR, SUITE 130
CHICAGO, IL 60611
(312) 926-7028
1447295092 JOAN MANKOWSKI MD
Individual
Internal Medicine201 E HURON ST 5TH FLOOR, SUITE 110
CHICAGO, IL 60611
(312) 926-6433
1215973599 KELLYN MARKS M.D.
Individual
Internal Medicine201 E HURON ST 12TH FL SUITE 105
CHICAGO, IL 60611
(312) 926-5111

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.