Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Med Psyche LLC

Organization Family Nurse Practitioner · NPI 1053145888

Med Psyche LLC is a Family Nurse Practitioner in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1108 W Granville Ave
Chicago, IL 60660-2013
Phone: (312) 912-3444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1053145888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Evangelista — Owner · (312) 912-3444
NPI enumeratedAugust 26, 2024
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address1108 W Granville Ave, Chicago, IL 60660-2013

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