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General NPI Number Information
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NPI Number | 1598680654
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Entity Type | Organization
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Legal Business Name | EVERMERE INTEGRATIVE PSYCHIATRY
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 14930 CICERO AVE STE D
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City | OAK FOREST
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State | IL
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Zip | 60452-1451
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Country | US
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Telephone | 708-277-4325
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Fax | 708-978-0852
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Provider Business Mailing Address
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Address Line | 14930 CICERO AVE STE D
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City | OAK FOREST
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State | IL
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Zip | 60452-1451
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Country | US
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Telephone | 708-277-4325
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Fax | 708-978-0852
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA RUSNAK
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Credential | APRN
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Telephone | 708-277-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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