Organization · Type 2 NPI
Hyde Park Mental Wellness
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1114574886
Active
Practice location
1525 E 55th St Ste 205
Chicago, IL 60615-5584
Fax (405) 307-7611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114574886
Hyde Park Mental Wellness's National Provider Identifier is 1114574886, issued on Aug 19, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Oct 23, 2019.