Organization
CENTER FOR INTEGRATIVE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE MIETUS STEVENSON MD, PHD (OWNER)
(224) 361-3301
Entity
Organization
Contact information
Practice address
8745 W HIGGINS RD STE 110, CHICAGO, IL 60631-2753
(224) 361-3301
(405) 337-9658
Mailing address
8745 W HIGGINS RD STE 110, CHICAGO, IL 60631-2753
(224) 361-3301
(405) 337-9658
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
04/23/2023
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