A BEAUTIFUL MIND CHICAGO NPI 1225621295

NPI Information

NPI: 1225621295
Provider Name: A BEAUTIFUL MIND CHICAGO

Doing Business As: A BEAUTIFUL MIND

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5113 S HARPER AVE # 2C
CHICAGO, IL
ZIP 60615
Phone: (773) 304-3699
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A BEAUTIFUL MIND CHICAGO is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. A BEAUTIFUL MIND CHICAGO NPI is 1225621295. The provider is registered as an organization entity type.
The provider Is Doing Business As A Beautiful Mind.

The provider's business location address is:

5113 S HARPER AVE # 2C
CHICAGO, IL
ZIP 60615-119
Phone: (773) 304-3699

The provider's authorized official is Chiquita Lee .
The authorized official title is Ceo and has the following contact phone number (312) 340-8826.

The enumeration date for this NPI number is 2/19/2021 and was last updated on 12/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	No
2	261QM0850X	Clinic/Center	Adult Mental Health	Yes
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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