Organization
BESPOKE PSYCHIATRY
Active
Other names
BESPOKE PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA C HNATIW (ACCOUNT MANAGER)
(630) 241-1495
Entity
Organization
Contact information
Practice address
1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 60642-4327
(773) 248-2255
Mailing address
1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 60642-4327
(773) 248-2255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
02/02/2022
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