# SAGEMIND PSYCHIATRIC CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205621356
- **Authorized official:** DR. OTHMAN M MOHAMMAD MD (CEO/CHILD PSYCHIATRIST)
- **Authorized official phone:** (708) 998-2288

## Contact information

- **Practice address:** 3030 WARRENVILLE RD \# 450-28, LISLE, IL 60532-1000
- **Practice address phone:** (708) 998-2288
- **Mailing address:** 3030 WARRENVILLE RD \# 450-28, LISLE, IL 60532-1000
- **Mailing address phone:** (708) 998-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | NULL | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1000X | Migrant Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/10/2025
- **Last updated:** 04/10/2025