Organization · Type 2 NPI
Dynasty 57 Behavioral Health LLC
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1689538563
Active
Practice location
2206 W Greenleaf Ave
Chicago, IL 60645-4804
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 1689538563
Dynasty 57 Behavioral Health LLC's National Provider Identifier is 1689538563, issued on Dec 15, 2025. 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 Dec 16, 2025.