Healthcare Provider Details

I. General information

NPI: 1619897550
Provider Name (Legal Business Name): FLOURISH PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2630 N RICHMOND ST
CHICAGO IL
60647-1710
US

IV. Provider business mailing address

680 N LAKE SHORE DR STE 110-2389
CHICAGO IL
60611-4546
US

V. Phone/Fax

Practice location:
  • Phone: 312-772-4925
  • Fax:
Mailing address:
  • Phone: 312-772-4925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ANGELA DEVI SHRESTHA
Title or Position: PRACTICE FOUNDER
Credential: MD
Phone: 312-772-4925