Nurture Prescribher PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NURTURE PRESCRIBHER PLLC

Practice address

3711 N Ravenswood Ave Ste 146
Chicago, IL 60613-5944

Phone

(773) 274-0700

NPI assigned

Jul 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Patel

Title

HR Director

Phone

(224) 256-9011

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1003644089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 W MOFFAT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 N RAVENSWOOD AVE STE 146",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135944",
            "telephone_number": "773-274-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE PRESCRIBHER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "224-256-9011"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.