Mind Body Healthcare LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MIND BODY HEALTHCARE LLC

Practice address

3839 N Western Ave
Suite 1B
Chicago, IL 60618-3733

Phone

(773) 267-2675

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harpal Singh Gill, D.C

Title

Doctor of Chiropractic

Phone

(773) 267-2675

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245456029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 N WESTERN AVE",
            "address_2": "SUITE 1B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183733",
            "telephone_number": "773-267-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 N WESTERN AVE",
            "address_2": "SUITE 1B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183733",
            "telephone_number": "773-267-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "HARPAL",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "773-267-2675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS PROVIDER",
            "identifier": "01634775",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mind Body Behavioral Health
• Mind Body Behavioral Health, PLCC
• Mind Body Center
• Mind Body Co-Op
• Mind Body Co-Op
• Mind Care LLC
• Mind Chicago
• Mind Management Inc
• Mind Move Therapy PLLC
• Mind of Christ Life Counseling PLLC

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.