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Organization

RADIANT MINDS INSTITUTE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVISHA FORD (OWNER)
(708) 798-4200
Entity
Organization

Contact information

Practice address
18501 MAPLE CREEK DR STE 900, TINLEY PARK, IL 60477-6781
(708) 307-0440
Mailing address
18501 MAPLE CREEK DR STE 900, TINLEY PARK, IL 60477-6781

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
225X00000X
Occupational Therapist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
09/12/2023
Last updated
02/25/2025
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