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1053145888
MED PSYCHE LLC
CHICAGO, IL
NPI
1053145888
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Entity Type
Organization
Authorized Contact
BRYAN EVANGELISTA
Owner
312-912-3444
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-08-26
Last Update Date
2024-08-28
Business Address
MED PSYCHE LLC
1108 W GRANVILLE AVE
CHICAGO, IL 60660-2013
Phone number: 312-912-3444
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Mailing Address
MED PSYCHE LLC
1108 W GRANVILLE AVE
CHICAGO, IL 60660-2013
Phone number:
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