Healthcare Provider Details

I. General information

NPI: 1861146284
Provider Name (Legal Business Name): MUGEN PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W 22ND ST STE 260
OAK BROOK IL
60523-1947
US

IV. Provider business mailing address

600 W 22ND ST STE 260
OAK BROOK IL
60523-1947
US

V. Phone/Fax

Practice location:
  • Phone: 331-291-8522
  • Fax:
Mailing address:
  • Phone: 331-291-8522
  • Fax: 314-405-9688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ALAN AKIRA
Title or Position: FOUNDER
Credential: MD
Phone: 205-427-9243