KRISTIN BURNS MIND AND BODY NPI 1194244400

NPI Information

NPI: 1194244400
Provider Name: KRISTIN BURNS MIND AND BODY
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
715 LAKE ST STE 703
OAK PARK, IL
ZIP 60301
Phone: (312) 852-0515
Get Directions

KRISTIN BURNS MIND AND BODY is a mental health (including community mental health center) clinic center in Oak Park, IL. KRISTIN BURNS MIND AND BODY NPI is 1194244400. The provider is registered as an organization entity type.

The provider's business location address is:

715 LAKE ST STE 703
OAK PARK, IL
ZIP 60301
Phone: (312) 852-0515

The provider's authorized official is Kristin Burns .
The authorized official title is Owner and has the following contact phone number (312) 852-0515.

The enumeration date for this NPI number is 9/18/2017 and was last updated on 8/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	248-002249	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1316369630	OTHER	ILLINOIS	BCBS OF IL PPO
2	1316369630	OTHER	ILLINOIS	BCBS PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »