| Sound Mind, Sound Body Health Services, Inc. | |
|
2200 Huntington Dr N Algonquin IL 60102-4419 | |
| (815) 356-5499 | |
| (815) 356-7139 |
| Full Name | Sound Mind, Sound Body Health Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2200 Huntington Dr N, Algonquin, Illinois |
| Authorized Official Name and Position | Julie Mcfail Weingarz (PRESIDENT) |
| Authorized Official Contact | 8153565499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Mind, Sound Body Health Services, Inc. 2200 Huntington Dr N Algonquin IL 60102-4419 Ph: (815) 356-5499 | Sound Mind, Sound Body Health Services, Inc. 2200 Huntington Dr N Algonquin IL 60102-4419 Ph: (815) 356-5499 |
| NPI Number | 1215134721 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 04/21/2017 |
| Medicare PECOS PAC ID | 9032168364 |
|---|---|
| Medicare Enrollment ID | O20050113000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215134721 | NPI | - | NPPES |
| 1295717858 | Other | INDIVIDUAL NPI # | |
| 05632128 | Other | IL | BCBS PPO PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006152 (Illinois) | Primary |
| Provider Name | Julie M Weingarz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295717858 PECOS PAC ID: 9830148162 Enrollment ID: I20050118000616 |
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