| Kristin Burns Mind And Body | |
|
715 Lake St Ste 703 Oak Park IL 60301 | |
| (312) 852-0515 | |
| Not Available |
| Full Name | Kristin Burns Mind And Body |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 715 Lake St Ste 703, Oak Park, Illinois |
| Authorized Official Name and Position | Kristin Burns (OWNER) |
| Authorized Official Contact | 3128520515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Burns Mind And Body 1115 Thatcher Ave River Forest IL 60305-1332 Ph: (312) 852-0515 | Kristin Burns Mind And Body 715 Lake St Ste 703 Oak Park IL 60301 Ph: (312) 852-0515 |
| NPI Number | 1194244400 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 08/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194244400 | NPI | - | NPPES |
| 1316369630 | Other | IL | BCBS OF IL PPO |
| 1316369630 | Other | IL | BCBS PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 248-002249 (Illinois) | Primary |
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