Organization · Type 2 NPI

Mind Body Co-Op

Psychiatric/Mental Health Nurse Practitioner · Chicago, IL

NPI number 1750668091 Active

Practice location

30 N Michigan Ave Ste 424
Chicago, IL 60602-3844

Call (872) 274-4344 Map

Fax (866) 671-9991

Mailing address

3209 N Lakewood Ave
Chicago, IL 60657-3215

Other practice locations

  • 1901 W Carroll Ave Unit 205, Chicago, IL 60612-2401 · (312) 279-9981
  • 3209 N Lakewood Ave, Chicago, IL 60657-3215 · (872) 274-4344

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Neuropsychologist 103G00000XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Health Psychologist 103TH0004XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201XNone listed
Addiction Medicine (Preventive Medicine) Physician 2083A0300XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1750668091

Mind Body Co-Op's National Provider Identifier is 1750668091, issued on Nov 15, 2011. 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 Dec 11, 2025.