Healthcare Provider Details

I. General information

NPI: 1598680654
Provider Name (Legal Business Name): EVERMERE INTEGRATIVE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14930 CICERO AVE STE D
OAK FOREST IL
60452-1451
US

IV. Provider business mailing address

14930 CICERO AVE STE D
OAK FOREST IL
60452-1451
US

V. Phone/Fax

Practice location:
  • Phone: 708-249-3309
  • Fax: 708-978-0852
Mailing address:
  • Phone: 708-277-4325
  • Fax: 708-978-0852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA RUSNAK
Title or Position: OWNER
Credential: APRN
Phone: 708-277-4325