Organization
MINDFUL SOULS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BURKE (OWNER)
(847) 204-8042
Entity
Organization
Contact information
Practice address
31 CHAMPIONSHIP PKWY, HAWTHORN WOODS, IL 60047
(847) 204-8042
Mailing address
31 CHAMPIONSHIP PKWY, HAWTHORN WOODS, IL 60047
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
149016817
IL
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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