Mindcore Integrative Health, Llc | |
333 Madison St Joliet IL 60435-8200 | |
(815) 725-7133 | |
Not Available |
Full Name | Mindcore Integrative Health, Llc |
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Speciality | Hospitalist |
Location | 333 Madison St, Joliet, Illinois |
Authorized Official Name and Position | Sameera Guttikonda (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2245420736 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindcore Integrative Health, Llc 903 S Bodin St Hinsdale IL 60521-4383 Ph: () - | Mindcore Integrative Health, Llc 333 Madison St Joliet IL 60435-8200 Ph: (815) 725-7133 |
NPI Number | 1053112631 |
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Provider Enumeration Date | 03/20/2025 |
Last Update Date | 07/23/2025 |
Certification Date | 07/23/2025 |
Medicare PECOS PAC ID | 9234649062 |
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Medicare Enrollment ID | O20250610002706 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053112631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Primary |
Provider Name | Moiz Suhail |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255825543 PECOS PAC ID: 9436493541 Enrollment ID: I20211026000076 |
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