Organization
MINDFUL PSYCHIATRIC SERVICES, MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DYERS DO (PRESIDENT)
(815) 941-3882
Entity
Organization
Contact information
Practice address
1802 N DIVISION ST STE 509, MORRIS, IL 60450-3107
(815) 941-3882
(815) 941-3884
Mailing address
1802 N DIVISION ST STE 509, MORRIS, IL 60450-3107
(815) 941-3882
(815) 941-3884
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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