Healthcare Provider Details
I. General information
NPI: 1417865254
Provider Name (Legal Business Name): BRIGHT PATH PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1917 MCRAE LN
MUNDELEIN IL
60060-1400
US
IV. Provider business mailing address
1917 MCRAE LN
MUNDELEIN IL
60060-1400
US
V. Phone/Fax
- Phone: 773-204-2106
- Fax:
- Phone: 773-204-2106
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANETA
ZIMA
Title or Position: PMHNP-C, FNP-C, APNP, FPA, MS
Credential:
Phone: 773-204-2106