Organization · Type 2 NPI
Mind-Body Pediatric Psychiatry
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1114755014
Active
Practice location
213 W Institute Pl Ste 500
Chicago, IL 60610-8792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114755014
Mind-Body Pediatric Psychiatry's National Provider Identifier is 1114755014, issued on Jul 23, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Apr 20, 2026.