Organization
TAPESTRY 360 HEALTH
Active
Organization
TAPESTRY 360 HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE WILLIS MBA (CHIEF EXECUTIVE OFFICER)
(773) 296-7589
Entity
Organization
Contact information
Practice address
6200 N HIAWATHA AVE, CHICAGO, IL 60646-4309
(773) 296-7589
Mailing address
1301 W DEVON AVE, CHICAGO, IL 60660-1329
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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