A Beautiful Mind

LBN: A Beautiful Mind Chicago
A Beautiful Mind is an health care organization with primary practice located at 5113 S Harper Ave # 2C , Chicago IL 60615-4119. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. A Beautiful Mind Chicago can be contacted via phone (773) 304-3699, or through Lee, Chiquita via phone (312) 340-8826.

Contact Information

Primary practice address
5113 S Harper Ave # 2C Chicago IL 60615-4119
Phone: (773) 304-3699
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Chiquita
Phone: (312) 340-8826

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1225621295
LBN Legal business name A Beautiful Mind Chicago
DBA Doing business as A Beautiful Mind
Authorized official Lee, Chiquita
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2021
Last updated Dec 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225621295 NPPES
Illinois MEDICAID 0

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