| Mindset Health Pc | |
|
2617 W Coyle Ave Chicago IL 60645-3214 | |
| (773) 407-8626 | |
| Not Available |
| Full Name | Mindset Health Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2617 W Coyle Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jason Herr (FOUNDER) |
| Authorized Official Contact | 7734078626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset Health Pc 53 W Jackson Blvd Suite 1022 Chicago IL 60604-3606 Ph: (773) 407-8626 | Mindset Health Pc 2617 W Coyle Ave Chicago IL 60645-3214 Ph: (773) 407-8626 |
| NPI Number | 1801339254 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 12/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801339254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.008452 (Illinois) | Primary |
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