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General NPI Number Information
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NPI Number | 1760330013
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Entity Type | Organization
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Legal Business Name | EVERRISE PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 20550 S LAGRANGE RD STE 11
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City | FRANKFORT
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State | IL
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Zip | 60423-1699
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Country | US
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Telephone | 708-262-8386
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Fax | 464-222-3721
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Provider Business Mailing Address
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Address Line | 20550 S LAGRANGE RD STE 11
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City | FRANKFORT
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State | IL
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Zip | 60423-1699
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Country | US
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Telephone | 708-262-8386
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Fax | 464-222-3721
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Authorized Official
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Title or Position | DR. /ADMINISTRATOR
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Name | ABIEMWENSE ABRAHAM
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 630-706-1127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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