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Organization

SOUND MIND, SOUND BODY HEALTH SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIE MCFAIL WEINGARZ PSY.D. (PRESIDENT)
(815) 356-5499
Entity
Organization

Contact information

Practice address
2200 HUNTINGTON DR N, ALGONQUIN, IL 60102-4419
(815) 356-5499
(815) 356-7139
Mailing address
2200 HUNTINGTON DR N, ALGONQUIN, IL 60102-4419
(815) 356-5499
(815) 356-7139

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006152
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05632128
BCBS PPO PROVIDER #
IL
01
1295717858
INDIVIDUAL NPI #
Enumeration date
06/28/2007
Last updated
04/21/2017
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