Mind-Full Therapy PLLC – Clinical Psychologist

Key facts

NPI: 1235913864
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Psychologist 103TC0700X
Legal business name: MIND-FULL THERAPY PLLC
Practice address: 18700 Wolf Rd Ste 209
Mokena, IL 60448-8699
Phone: (630) 296-6784
NPI assigned: Aug 23, 2023
Organization subpart: No

Authorized official

Name: Elizabeth Polek, PSYD NPI 1225670243
Title: Partner
Phone: (630) 992-8246

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Elizabeth Polek Clinical Psychologist · Palos Heights, IL · NPI 1225670243

NPD Authorized official CLINICAL

National Provider Directory

Locations

18700 Wolf Rd
Ste 209
Mokena, IL 60448
Phone (630) 296-6784

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103TC0700X			Yes

Addresses

Primary practice location

18700 Wolf Rd Ste 209
Mokena, IL 60448-8699

Mailing address

18700 Wolf Rd Ste 209
Mokena, IL 60448-8699

Other providers in Mokena, IL

All providers in Mokena, IL · Clinical Psychologist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.