Organization
HYDE PARK MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RICHARDSON PMHNP-BC (OWNER)
(773) 834-3561
Entity
Organization
Contact information
Practice address
1525 E 55TH ST STE 205, CHICAGO, IL 60615-5584
(773) 834-3561
(405) 307-7611
Mailing address
1525 E 55TH ST STE 205, CHICAGO, IL 60615-5584
(773) 834-3561
(405) 307-7611
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
10/23/2019
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