Organization
JXP HEALTHY MINDS PC
Active
Parent organization
JXP HEALTHY MINDS PC
Other names
JxP Healthy Minds PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JXP HEALTHY MINDS PC
Authorized official
DR. JULIE A. XIQUES-PRIETO PSY,D (LICENSED CLINICAL PSYCHOLOGIST)
(312) 492-8081
Entity
Organization
Contact information
Practice address
819 N ASHLAND AVE STE 201, CHICAGO, IL 60622-5102
(312) 492-8081
(312) 492-8083
Mailing address
819 N ASHLAND AVE STE 201, CHICAGO, IL 60622-5102
(312) 492-8081
(312) 492-8083
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071006196
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184607608
MERCEDEZ MARTINEZ MD
IL
01
—
1831260025
JULIE A XIQUES-PRIETO PSY,D
IL
Enumeration date
06/25/2008
Last updated
06/25/2008
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