National Provider Identifier Database

KRISTIN BURNS MIND AND BODY
Mental Health (Including Community Mental Health Center)


Contact Information

KRISTIN BURNS MIND AND BODY
715 LAKE ST STE 703
OAK PARK, IL60301
Phone: 312-852-0515
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for KRISTIN BURNS MIND AND BODY

NPI Number 1194244400
Legal business name
LBN
KRISTIN BURNS MIND AND BODY
Authorized official KRISTIN BURNS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/18/2017
Last updated 08/09/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 248-002249
  • IL Other: 1316369630 BCBS OF IL PPO
  • IL Other: 1316369630 BCBS PPO

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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