- Practice location
- 5113 S Harper Ave Ste 2C, Chicago, IL 60615-4119
- Phone
- 773-304-3699
- Fax
- —
- Last updated
- February 23, 2023
A Beautiful Mind License Restoration is a healthcare organization based in Chicago, IL. A Beautiful Mind License Restoration practices in Chicago, IL. The NPI Number for A Beautiful Mind License Restoration is 1548968076. The current practice location address for A Beautiful Mind License Restoration is 5113 S Harper Ave Ste 2C, Chicago, IL 60615-4119 and can be reached out via phone at 773-304-3699.
Provider Profile Details
- NPI Number
- 1548968076
- Provider Name
- A Beautiful Mind License Restoration
- Provider Entity Type
- Organization
- Address
- 5113 S Harper Ave Ste 2C, Chicago, IL 60615-4119
- Phone Number
- 773-304-3699
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Chiquita Lee · Ceo · 312-340-8826
- Provider Enumeration Date
- February 23, 2023
- Last Update Date
- February 23, 2023
- Certification Date
- February 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5113 S Harper Ave Ste 2C
Chicago, IL 60615-4119 - City
- Chicago
- State
- Illinois
- Zip
- 60615-4119
- Phone Number
- 773-304-3699
Provider Business Mailing Address Details
- Address
- 5113 S Harper Ave Ste 2C
Chicago, IL 60615-4119 - City
- Chicago
- State
- IL
- Zip
- 60615-4119
- Phone Number
- 773-304-3699
License Information
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Substance Abuse Rehabilitation Facility providers near Chicago, IL
View all Substance Abuse Rehabilitation Facility providers in Chicago →- Audrey K Adams, LCPCCounselor, Mental Health · NPI 1700635125
- Dr. Samella B Abdullah, PHDSocial Worker, Clinical · NPI 1356404263
- Activstyle LLCDurable Medical Equipment & Medical Supplies · NPI 1407847882
- Dr. Paul D Ackerman, MDNeurological Surgery · NPI 1275762262
- Petar AbramovicBehavior Technician · NPI 1588562029
- Sara AbellPsychiatry & Neurology, Psychiatry · NPI 1184289035
Frequently Asked Questions
What is the NPI number of A Beautiful Mind License Restoration?
The NPI number of A Beautiful Mind License Restoration is 1548968076. It was assigned on February 23, 2023 and is currently active in the NPPES registry.
What is the specialty of A Beautiful Mind License Restoration?
A Beautiful Mind License Restoration is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does A Beautiful Mind License Restoration practice?
The practice location is 5113 S Harper Ave Ste 2C, Chicago, IL 60615-4119. The office can be reached at 773-304-3699 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548968076 directly on the NPPES registry website.