# SOUTH SHORE PSYCHIATRY AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275438244
- **Authorized official:** ADELINE OGBOR PMHNP-BC (CEO)
- **Authorized official phone:** (312) 650-9685

## Contact information

- **Practice address:** 600 HOLIDAY PLAZA DR STE 182B, MATTESON, IL 60443-2236
- **Practice address phone:** (312) 650-9685
- **Mailing address:** 600 HOLIDAY PLAZA DR STE 182B, MATTESON, IL 60443-2236
- **Mailing address phone:** (312) 650-9685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2026
- **Last updated:** 10/10/2026