Healthcare Provider Details

I. General information

NPI: 1598694390
Provider Name (Legal Business Name): AUREUS MINDS PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31099 OAKVIEW LN
GENOA IL
60135-8151
US

IV. Provider business mailing address

1449 S MICHIGAN AVE STE 13920
CHICAGO IL
60605-2810
US

V. Phone/Fax

Practice location:
  • Phone: 312-549-9707
  • Fax: 312-801-9558
Mailing address:
  • Phone: 312-549-9707
  • Fax: 312-801-9558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CARRIE ANN GRANT
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 312-549-9707