Whalio Doctors

NPI 1245830298

A Beautiful Mind, INC

Organisation Mental Illness Community Based Residential Treatment Facility Chicago, IL

Practice location

Address
9046 S Justine St APT 2, Chicago, IL 60620-5033
Phone
(773) 304-6999
Mailing address
5113 S Harper Ave STE 2c, Chicago, IL 60615-4119

Authorised official

Name
Chiquita Lee
Title
Ceo/Founder
Phone
(773) 304-3699

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X

Registry record

NPI
1245830298
Entity type
Organization
NPI issued
29 Oct 2020
Record last updated
28 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.