Organization
MIND ON WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE HEYLAND DNP, APN, PMHNP-BC (OWNER)
(847) 257-2497
Entity
Organization
Contact information
Practice address
1011 LAKE ST STE 304, OAK PARK, IL 60301-1138
(847) 257-2497
Mailing address
1624 N MOHAWK ST UNIT A, CHICAGO, IL 60614-5624
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209010790
IL
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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