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Contact Information

MIND GUT THERAPY CENTER PLLC
1114 S WAIOLA AVE
LA GRANGE, IL60525-6627
 Phone: 312-576-5083
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MIND GUT THERAPY CENTER PLLC

NPI # 1316511090
LBN Legal business name MIND GUT THERAPY CENTER PLLC
Authorized official SARAH KINSINGER - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2021
Last updated 05/17/2021 - About 5 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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