Active NPI
Chicago Functional Psychiatry
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1871072090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.086662
- Legal business name
- CHICAGO FUNCTIONAL PSYCHIATRY
- Practice address
- 111 N Wabash Ave Suite 1202
Chicago, IL 60602-1900 - Phone
- (773) 407-5876
- Fax
- (888) 275-5457
- NPI assigned
- Aug 8, 2018
- Last updated
- Aug 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victoria Nee, MD
- Title
- President
- Phone
- (773) 407-5876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.086662 | IL | Primary |
Addresses
Primary practice location
111 N Wabash Ave Suite 1202
Chicago, IL 60602-1900
Mailing address
111 N Wabash Ave Suite 1202
Chicago, IL 60602-1900
Phone (773) 407-5876
National Provider Directory
National Provider DirectoryLocations
111 N Wabash Ave
Ste 1202
Chicago, IL 60602
Phone (312) 315-0609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533686400000",
"number": "1871072090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WABASH AVE SUITE 1202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021900",
"telephone_number": "773-407-5876",
"fax_number": "888-275-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE SUITE 1202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021900",
"telephone_number": "773-407-5876",
"fax_number": "888-275-5457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO FUNCTIONAL PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A",
"authorized_official_last_name": "NEE",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-407-5876",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.086662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.