SUNSHINE PSYCHIATRY LLC NPI 1245841469

NPI Information

NPI: 1245841469
Provider Name: SUNSHINE PSYCHIATRY LLC

Doing Business As: SUNSHINE PSYCHIATRY

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2259 W TAYLOR ST
CHICAGO, IL
ZIP 60612
Phone: (312) 285-2982
Get Directions

SUNSHINE PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Chicago, IL. SUNSHINE PSYCHIATRY LLC NPI is 1245841469. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunshine Psychiatry.

The provider's business location address is:

2259 W TAYLOR ST
CHICAGO, IL
ZIP 60612-233
Phone: (312) 285-2982
Fax: (844) 835-7034

The provider's authorized official is Sherann Ivy .
The authorized official title is Administrator and has the following contact phone number (773) 517-8360.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 3/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	341029006001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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