| Myndfl Medical PLLC | |
|
333 Skokie Blvd Ste 101 Northbrook IL 60062-1621 | |
| (847) 450-6393 | |
| Not Available |
| Full Name | Myndfl Medical PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 Skokie Blvd Ste 101, Northbrook, Illinois |
| Authorized Official Name and Position | Karolina Mikos (SOLE MEMBER) |
| Authorized Official Contact | 7735509939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myndfl Medical PLLC 333 Skokie Blvd Ste 101 Northbrook IL 60062-1621 Ph: (847) 450-6393 | Myndfl Medical PLLC 333 Skokie Blvd Ste 101 Northbrook IL 60062-1621 Ph: (847) 450-6393 |
| NPI Number | 1356232235 |
|---|---|
| Provider Enumeration Date | 07/10/2025 |
| Last Update Date | 07/10/2025 |
| Certification Date | 07/10/2025 |
| Medicare PECOS PAC ID | 8022518018 |
|---|---|
| Medicare Enrollment ID | O20250825000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356232235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Timothy David Morrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205263019 PECOS PAC ID: 3173897600 Enrollment ID: I20180402002147 |
| Provider Name | Jeanne Doherty |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689288847 PECOS PAC ID: 5991124414 Enrollment ID: I20250326003795 |
| Provider Name | Karolina Mikos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023424843 PECOS PAC ID: 8527324649 Enrollment ID: I20250825000668 |
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