| Mindwell Inc | |
|
155 N Wacker Dr Suite 4250 Chicago IL 60606-1787 | |
| (847) 212-9809 | |
| Not Available |
| Full Name | Mindwell Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 155 N Wacker Dr, Chicago, Illinois |
| Authorized Official Name and Position | Majed Dalloul (CEO) |
| Authorized Official Contact | 9092678453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindwell Inc 155 N Wacker Dr Suite 4250 Chicago IL 60606-1787 Ph: (847) 212-9809 | Mindwell Inc 155 N Wacker Dr Suite 4250 Chicago IL 60606-1787 Ph: (847) 212-9809 |
| NPI Number | 1396281838 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Medicare PECOS PAC ID | 4587949383 |
|---|---|
| Medicare Enrollment ID | O20170317000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396281838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Majed Dalloul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922328426 PECOS PAC ID: 4880835578 Enrollment ID: I20140418000072 |
| Provider Name | Sheila D Casteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457337735 PECOS PAC ID: 8022237767 Enrollment ID: I20140911001892 |
| Provider Name | Oluseun Osinowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548614431 PECOS PAC ID: 6507164803 Enrollment ID: I20160420001307 |
| Provider Name | Raymond Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609354133 PECOS PAC ID: 7911246996 Enrollment ID: I20190308002759 |
| Provider Name | Irina Salabai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194324053 PECOS PAC ID: 1355754466 Enrollment ID: I20210111001385 |
| Provider Name | Lateef Babatunde Kelani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164028189 PECOS PAC ID: 7810377090 Enrollment ID: I20220706000635 |
| Provider Name | Dima Arbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760739114 PECOS PAC ID: 6204115363 Enrollment ID: I20230404001151 |
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