| Hearthstone P.c. | |
|
82 S La Grange Rd Ste 205 La Grange IL 60525-6348 | |
| (708) 316-9500 | |
| Not Available |
| Full Name | Hearthstone P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 82 S La Grange Rd Ste 205, La Grange, Illinois |
| Authorized Official Name and Position | Mirjam Quinn (FOUNDER) |
| Authorized Official Contact | 7085392917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearthstone P.c. 9928 S Leavitt St Chicago IL 60643-1822 Ph: (708) 539-2917 | Hearthstone P.c. 82 S La Grange Rd Ste 205 La Grange IL 60525-6348 Ph: (708) 316-9500 |
| NPI Number | 1548152358 |
|---|---|
| Provider Enumeration Date | 07/16/2025 |
| Last Update Date | 07/16/2025 |
| Certification Date | 07/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548152358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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