| Mind Well Psychological Services, Llc. | |
|
9290 Forest Edge Dr Burr Ridge IL 60527-6680 | |
| (708) 466-6443 | |
| Not Available |
| Full Name | Mind Well Psychological Services, Llc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9290 Forest Edge Dr, Burr Ridge, Illinois |
| Authorized Official Name and Position | Lori Q. Chaib (OWNER) |
| Authorized Official Contact | 7084666443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Well Psychological Services, Llc. 648 Avenue B Redondo Beach CA 90277-4829 Ph: (708) 466-6443 | Mind Well Psychological Services, Llc. 9290 Forest Edge Dr Burr Ridge IL 60527-6680 Ph: (708) 466-6443 |
| NPI Number | 1629380290 |
|---|---|
| Provider Enumeration Date | 07/11/2010 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629380290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007814 (Illinois) | Primary |
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