| Mindful Md Sc | |
|
911 Midwest Club Pkwy Ste 720 Oak Brook IL 60523-2533 | |
| (708) 492-0288 | |
| (630) 415-1841 |
| Full Name | Mindful Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 911 Midwest Club Pkwy Ste 720, Oak Brook, Illinois |
| Authorized Official Name and Position | Sonal Gupta (PSYCHIATRIST) |
| Authorized Official Contact | 7734880101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Md Sc Po Box 3761 Oak Brook IL 60522-3761 Ph: (708) 492-0288 | Mindful Md Sc 911 Midwest Club Pkwy Ste 720 Oak Brook IL 60523-2533 Ph: (708) 492-0288 |
| NPI Number | 1255604351 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255604351 | NPI | - | NPPES |
| 036116566 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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