Organization
OF SOUND MIND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI R GRIFO PSY.D. (DIRECTOR)
(773) 907-8825
Entity
Organization
Contact information
Practice address
5215 N RAVENSWOOD AVE, SUITE 214, CHICAGO, IL 60640-1668
(773) 907-8825
(773) 907-8841
Mailing address
5215 N RAVENSWOOD AVE, SUITE 214, CHICAGO, IL 60640-1668
(773) 907-8825
(773) 907-8841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237540
COMPSYCH CORP.
IL
01
—
276614
MANAGED HEALTH NETWORK
IL
01
—
P-12036740
MULTIPLAN
IL
Enumeration date
04/09/2007
Last updated
08/22/2020
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