| Obsidian Institute Of Integrative Medicine | |
|
4718 147th St Midlothian IL 60445-2527 | |
| (708) 433-9890 | |
| (888) 592-0804 |
| Full Name | Obsidian Institute Of Integrative Medicine |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4718 147th St, Midlothian, Illinois |
| Authorized Official Name and Position | Erica Washington (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7084622134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obsidian Institute Of Integrative Medicine 4718 147th St Midlothian IL 60445-2527 Ph: (708) 433-9890 | Obsidian Institute Of Integrative Medicine 4718 147th St Midlothian IL 60445-2527 Ph: (708) 433-9890 |
| NPI Number | 1003795907 |
|---|---|
| Provider Enumeration Date | 08/27/2025 |
| Last Update Date | 08/27/2025 |
| Certification Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003795907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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