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Organization
RADIANT MINDS INSTITUTE CORP
Active
Organization
RADIANT MINDS INSTITUTE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVISHA FORD (OWNER)
(708) 798-4200
Entity
Organization
Contact information
Practice address
18501 MAPLE CREEK DR STE 900, TINLEY PARK, IL 60477-6781
(708) 307-0440
Mailing address
18501 MAPLE CREEK DR STE 900, TINLEY PARK, IL 60477-6781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/12/2023
Last updated
02/25/2025
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