| Sunshine Psychiatry | |
|
2259 W Taylor St Chicago IL 60612-4233 | |
| (312) 285-2982 | |
| (844) 835-7034 |
| Full Name | Sunshine Psychiatry |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2259 W Taylor St, Chicago, Illinois |
| Authorized Official Name and Position | Sherann Ivy (ADMINISTRATOR) |
| Authorized Official Contact | 7735178360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Psychiatry 2259 W Taylor St Chicago IL 60612-4233 Ph: (312) 285-2982 | Sunshine Psychiatry 2259 W Taylor St Chicago IL 60612-4233 Ph: (312) 285-2982 |
| NPI Number | 1245841469 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 0547687030 |
|---|---|
| Medicare Enrollment ID | O20200828001666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245841469 | NPI | - | NPPES |
| 341029006001 | Medicaid | IL |
| Provider Name | Sherann Ivy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919498 PECOS PAC ID: 7214267244 Enrollment ID: I20190918000805 |
| Provider Name | Abigail M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790321693 PECOS PAC ID: 2860826674 Enrollment ID: I20200103001418 |
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