Healthcare Provider Details

I. General information

NPI: 1285439091
Provider Name (Legal Business Name): MIHAELA VLADU APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 GRAND AVE STE D
GURNEE IL
60031-3774
US

IV. Provider business mailing address

3575 GRAND AVE STE D
GURNEE IL
60031-3774
US

V. Phone/Fax

Practice location:
  • Phone: 224-280-5614
  • Fax:
Mailing address:
  • Phone: 224-280-5614
  • Fax: 224-252-3780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number332586
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number894813
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number16714-33
License Number StateWI
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209031926
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: