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Organization
MIND BODY BEHAVIORAL HEALTH
Active
Organization
MIND BODY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA LONG NP (OWNER OF PRACTICE)
(708) 606-1147
Entity
Organization
Contact information
Practice address
230 E OHIO ST STE 4101768, CHICAGO, IL 60611-3265
(708) 606-1147
Mailing address
230 E OHIO ST STE 4101768, CHICAGO, IL 60611-3265
(708) 606-1147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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