Organization · Type 2 NPI

Mind Body Co-Op

Psychiatric/Mental Health Nurse Practitioner · Chicago, IL

NPI number 1770174559 Active

Practice location

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

Call (312) 279-9981 Map

Fax (312) 279-9981

Mailing address

3209 N Lakewood Ave
Chicago, IL 60657-3215

Other practice locations

  • 3209 N Lakewood Ave, Chicago, IL 60657-3215 · (872) 274-4344

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Neuropsychologist 103G00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Nutritionist 133N00000XNone listed
Registered Dietitian 133V00000XNone listed
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201XNone listed
Registered Nurse 163W00000XNone listed
Electrodiagnostic Medicine Physician 204R00000XNone listed
Nurse Practitioner 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

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

33 other providers at this address

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About NPI 1770174559

Mind Body Co-Op's National Provider Identifier is 1770174559, issued on Feb 3, 2021. 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 Aug 27, 2026.