Organization Active NPI

Mindful Medispa and Mediclinic PLLC

  • Primary Care Clinic/Center
  • Hoffman Estates, IL
National Provider Identifier
1144936170
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MINDFUL MEDISPA AND MEDICLINIC PLLC
Practice address
1626 W Algonquin Rd
Hoffman Estates, IL 60192-1587
Phone
(224) 634-1500
Fax
(224) 253-4669
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucie Bianchi, MD
Title
Medical Director
Phone
(224) 634-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1626 W Algonquin Rd
Hoffman Estates, IL 60192-1587

Mailing address

1626 W Algonquin Rd
Hoffman Estates, IL 60192-1587
Phone (224) 634-1500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL inbox@ourmindfulteam.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2181979Mindful Medispa & Mediclinic1626 W Algonquin Rd, Hoffman Estates, IL 60192Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

Locations

1626 W Algonquin Rd
Hoffman Estates, IL 60192
Phone (847) 221-2900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1144936170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W ALGONQUIN RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921587",
            "telephone_number": "224-634-1500",
            "fax_number": "224-253-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W ALGONQUIN RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921587",
            "telephone_number": "224-634-1500",
            "fax_number": "224-253-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEDISPA AND MEDICLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "BIANCHI",
        "authorized_official_first_name": "LUCIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "224-634-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "inbox@ourmindfulteam.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1626 W Algonquin Rd",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601921587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.