Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jai Yesu Psychiatric Services SC

Organization Psychiatry Physician · NPI 1336479278

Jai Yesu Psychiatric Services SC provides Psychiatry Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009

Practice location Address checks out

4711 N Laporte Ave
Chicago, IL 60630-3830 Not confirmed with CMS for 15 years — call before visiting
Phone: (540) 467-3615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036.121203 (IL)

Record details

NPI number1336479278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Mathews — President · (540) 467-3615
NPI enumeratedDecember 27, 2009
Last updated in NPPESNovember 8, 2010
Mailing address4711 N Laporte Ave, Chicago, IL 60630-3830

Other providers in Chicago