| Center For Integrative Psychiatry Llc | |
|
8745 W Higgins Rd Ste 110 Chicago IL 60631-2753 | |
| (224) 361-3301 | |
| (405) 337-9658 |
| Full Name | Center For Integrative Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8745 W Higgins Rd Ste 110, Chicago, Illinois |
| Authorized Official Name and Position | Bernadette Mietus Stevenson (OWNER) |
| Authorized Official Contact | 2243613301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrative Psychiatry Llc 8745 W Higgins Rd Ste 110 Chicago IL 60631-2753 Ph: (224) 361-3301 | Center For Integrative Psychiatry Llc 8745 W Higgins Rd Ste 110 Chicago IL 60631-2753 Ph: (224) 361-3301 |
| NPI Number | 1477011310 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 04/23/2023 |
| Certification Date | 04/23/2023 |
| Medicare PECOS PAC ID | 2961743208 |
|---|---|
| Medicare Enrollment ID | O20190415000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477011310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Bernadette M Stevenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134347909 PECOS PAC ID: 9931395100 Enrollment ID: I20101130000733 |
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