Organization
MIND-FULL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH POLEK PSYD (PARTNER)
(630) 992-8246
Entity
Organization
Contact information
Practice address
18700 WOLF RD STE 209, MOKENA, IL 60448-8699
(630) 296-6784
Mailing address
18700 WOLF RD STE 209, MOKENA, IL 60448-8699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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