Organization
SUNSHINE PSYCHIATRY LLC
Active
Other names
Sunshine Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
SHERANN IVY PMHNP-BC (ADMINISTRATOR)
(773) 517-8360
Entity
Organization
Contact information
Practice address
2259 W TAYLOR ST, CHICAGO, IL 60612-4233
(312) 285-2982
(844) 835-7034
Mailing address
2259 W TAYLOR ST, CHICAGO, IL 60612-4233
(312) 285-2982
(844) 835-7034
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341029006001
—
IL
Enumeration date
08/11/2020
Last updated
03/24/2023
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