| Eventide Wellness Inc | |
|
7021 W 153rd St Ste 5 Orland Park IL 60462-5397 | |
| (708) 381-5009 | |
| (888) 419-1594 |
| Full Name | Eventide Wellness Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7021 W 153rd St Ste 5, Orland Park, Illinois |
| Authorized Official Name and Position | Timothy Michael Jenkins (ED AND ACTING SECRETARY) |
| Authorized Official Contact | 7082750934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventide Wellness Inc Po Box 764 Manteno IL 60950-0764 Ph: (708) 275-0934 | Eventide Wellness Inc 7021 W 153rd St Ste 5 Orland Park IL 60462-5397 Ph: (708) 381-5009 |
| NPI Number | 1033714753 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033714753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Kendrick Brain Restoration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15255 S 94th Ave Ste 500, Orland Park, IL 60462 Phone: 502-345-1487 | |
Kirk Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15040 S Ravinia Ave Ste 44, Orland Park, IL 60462 Phone: 708-226-1280 Fax: 708-226-5810 | |
Trinity Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10811 W 143rd St Ste 200, Orland Park, IL 60467 Phone: 815-485-6197 | |
Thrive Consulting P.l.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15129 Quail Hollow Dr Apt 302, Orland Park, IL 60462 Phone: 708-560-5373 | |
Elemental Center Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14484 John Humphrey Dr, Orland Park, IL 60462 Phone: 708-364-0580 Fax: 708-364-0480 | |
Robert K Marshall, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9631 W 153rd St Ste 38, Orland Park, IL 60462 Phone: 847-533-3806 |