Healthcare Provider Details

I. General information

NPI: 1902590375
Provider Name (Legal Business Name): MIND ALIGN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 HUNTINGTON DR N
ALGONQUIN IL
60102-4419
US

IV. Provider business mailing address

760 MCARDLE DR STE D
CRYSTAL LAKE IL
60014-8149
US

V. Phone/Fax

Practice location:
  • Phone: 224-348-7981
  • Fax: 224-304-0149
Mailing address:
  • Phone: 847-254-6195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALLYSON GUZMAN MONELLI
Title or Position: NURSE PRACTITIONER
Credential: APRN, FNP-BC, FPA
Phone: 847-254-6195