Organization
5D PSYCHIATRY PLLC
Active
Organization
5D PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI JACKSON MD (CEO)
(312) 202-2106
Entity
Organization
Contact information
Practice address
1505 E 53RD ST STE 2E, CHICAGO, IL 60615-4509
(312) 529-0013
Mailing address
1505 E 53RD ST STE 2E, CHICAGO, IL 60615-4509
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
10/08/2024
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