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Contact Information

INTERMIND WELLNESS INC
1137 W 127TH ST
CALUMET PARK, IL60827-6537
 Phone: 312-967-7214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for INTERMIND WELLNESS INC

NPI # 1710746672
LBN Legal business name INTERMIND WELLNESS INC
Authorized official STACEY DAVIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2024
Last updated 03/14/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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