| Myndfl | |
|
333 Skokie Blvd Ste 101 Northbrook IL 60062-1621 | |
| (708) 232-6580 | |
| Not Available |
| Full Name | Myndfl |
|---|---|
| Speciality | Counselor |
| Location | 333 Skokie Blvd Ste 101, Northbrook, Illinois |
| Authorized Official Name and Position | Shari Kalik-miller (PRESIDENT) |
| Authorized Official Contact | 7082326580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myndfl 324 Lincoln Ave Glencoe IL 60022-1558 Ph: () - | Myndfl 333 Skokie Blvd Ste 101 Northbrook IL 60062-1621 Ph: (708) 232-6580 |
| NPI Number | 1932948619 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 5991240517 |
|---|---|
| Medicare Enrollment ID | O20240708003127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932948619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Timothy David Morrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205263019 PECOS PAC ID: 3173897600 Enrollment ID: I20180402002147 |
| Provider Name | Shari Kalik-miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790329845 PECOS PAC ID: 7618397563 Enrollment ID: I20240228003179 |
| Provider Name | Sheri Khan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215401047 PECOS PAC ID: 8820535487 Enrollment ID: I20240801001242 |
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