NPI | 1245841469 |
---|---|
Doing Business As | SUNSHINE PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | SHERANN IVY Administrator 773-517-8360 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2020-08-11 |
Last Update Date | 2023-03-24 |