| A Beautiful Mind, Inc | |
|
9046 S Justine St Apt 2 Chicago IL 60620-5033 | |
| (773) 304-6999 | |
| Not Available |
| Full Name | A Beautiful Mind, Inc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 9046 S Justine St Apt 2, Chicago, Illinois |
| Authorized Official Name and Position | Chiquita Lee (CEO/FOUNDER) |
| Authorized Official Contact | 7733043699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Mind, Inc 5113 S Harper Ave Ste 2c Chicago IL 60615-4119 Ph: () - | A Beautiful Mind, Inc 9046 S Justine St Apt 2 Chicago IL 60620-5033 Ph: (773) 304-6999 |
| NPI Number | 1245830298 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245830298 | NPI | - | NPPES |
| 0000 | Other | N/A | |
| 000 | Other | N/A |
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