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General NPI Number Information
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NPI Number | 1912890765
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Entity Type | Organization
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Legal Business Name | PSYCH FIRST BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 12/28/2025
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Provider Practice Location Address
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Address Line | 2720 S RIVER RD STE 142
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City | DES PLAINES
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State | IL
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Zip | 60018-4119
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Country | US
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Telephone | 224-524-1675
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 S RIVER RD STE 142
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City | DES PLAINES
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State | IL
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Zip | 60018-4119
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Country | US
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Telephone | 224-524-1675
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Fax | 224-298-0670
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MARIA ENGRACIA
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Credential |
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Telephone | 224-420-6482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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