Healthcare Provider Details

I. General information

NPI: 1174439293
Provider Name (Legal Business Name): BE FREE PSYCHIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S WESTERN AVE UNIT 1
CHICAGO IL
60612-4644
US

IV. Provider business mailing address

119 S WESTERN AVE UNIT 1
CHICAGO IL
60612-4644
US

V. Phone/Fax

Practice location:
  • Phone: 312-625-0110
  • Fax: 312-680-7589
Mailing address:
  • Phone: 312-625-0110
  • Fax: 312-680-7589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DANI H NGUYEN
Title or Position: PHYSICIAN ASSISTANT
Credential: PA-C
Phone: 312-625-0110