A Hopeful Mind Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

A HOPEFUL MIND INC

Practice address

11952 S Harlem Ave Ste 200a
Palos Heights, IL 60463-1390

Phone

(708) 465-4066

Fax

(708) 827-5014

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Stephanie Bakosh, NP

Title

Owner

Phone

(708) 465-4066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1437617057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11952 S HARLEM AVE STE 200A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631390",
            "telephone_number": "708-465-4066",
            "fax_number": "708-827-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11952 S HARLEM AVE STE 200A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631390",
            "telephone_number": "708-465-4066",
            "fax_number": "708-827-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HOPEFUL MIND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BAKOSH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-465-4066",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Palos Heights, IL
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• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.