Organization
BEVERLY PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS O NYENKE APN, PMHNP-BC (PROVIDER/OWNER)
(312) 857-4475
Entity
Organization
Contact information
Practice address
10406 S WESTERN AVE, CHICAGO, IL 60643-2508
(312) 857-4475
(773) 666-7241
Mailing address
10406 S WESTERN AVE, CHICAGO, IL 60643-2508
(312) 857-4475
(773) 666-7241
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
09/02/2025
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