KRISTIN BURNS MIND AND BODY; NPI #1194244400

Contact Information

KRISTIN BURNS MIND AND BODY

715 LAKE ST STE 703
OAK PARK, IL 60301

Phone: 312-852-0515
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for KRISTIN BURNS MIND AND BODY

NPI Number 1194244400

LBN Legal business name KRISTIN BURNS MIND AND BODY

Authorized official KRISTIN BURNS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/18/2017

Last updated 08/09/2018 - About 8 years ago

Identifiers

IL	License #	248-002249
IL	Other	1316369630	BCBS OF IL PPO
IL	Other	1316369630	BCBS PPO

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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