Organization
BR PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAO BUSNELLO MD (OWNER)
(312) 608-6346
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(847) 493-3521
Mailing address
100 E 14TH ST APT 2501, CHICAGO, IL 60605-3674
(312) 608-6356
(312) 608-6346
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
02/27/2023
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