Healthcare Provider Details
I. General information
NPI: 1710671110
Provider Name (Legal Business Name): COMPETENT MINDS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2023
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
418 E OAKWOOD BLVD UNIT 3
CHICAGO IL
60653-2392
US
IV. Provider business mailing address
418 E OAKWOOD BLVD UNIT 3
CHICAGO IL
60653-2392
US
V. Phone/Fax
- Phone: 773-615-8649
- Fax:
- Phone: 773-615-8649
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMAECHI
OHAJA
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 773-615-8649