JALEEL MINOR NPI 1861150963

NPI Information

  • NPI: 1861150963
  • Provider Name: JALEEL MINOR
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 11560 S KEDZIE AVE
    MERRIONETTE PARK, IL
    ZIP 60803
  • Phone: (708) 974-5800

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NPI Details

Jaleel Minor is a mental health counselor in Merrionette Park, IL. Jaleel Minor NPI is 1861150963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11560 S KEDZIE AVE
MERRIONETTE PARK, IL
ZIP 60803-517
Phone: (708) 974-5800

The enumeration date for this NPI number is 12/6/2021 and was last updated on 12/6/2021.

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 License Number License State Primary
1101YM0800XCounselorMental HealthM56042292210ILLINOISYes

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
1M56042292210MEDICAIDILLINOIS

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: 11/21/2025

NPI Synchronization or Removal

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