Organization
PUREPOWER HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMA F MUSTAFA (CO-CEO)
(708) 980-3563
Entity
Organization
Contact information
Practice address
14489 JOHN HUMPHREY DR STE 207A, ORLAND PARK, IL 60462-2671
(708) 980-3563
Mailing address
14489 JOHN HUMPHREY DR STE 207A, ORLAND PARK, IL 60462-2671
(708) 980-3563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/19/2025
Last updated
05/15/2026
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