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Organization

BESPOKE PSYCHIATRY

Active
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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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