Organization
MIRACARE NEURO BEHAVIORAL HEALTH, PC
Active
Other names
Palos Behavioral Health Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JAMES HIGGINS PSY D (PRESIDENT)
(708) 448-3300
Entity
Organization
Contact information
Practice address
11800 S 75TH AVE, 3RD FLOOR, PALOS HEIGHTS, IL 60463-1033
(708) 671-8440
(708) 671-8446
Mailing address
11800 S 75TH AVE, 3RD FLOOR, PALOS HEIGHTS, IL 60463-1033
(708) 448-3300
(708) 448-6972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623882
BC BS
IL
01
—
997310
MD MEDICARE
IL
Enumeration date
01/10/2007
Last updated
10/17/2022
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