Healthcare Provider Details

I. General information

NPI: 1659175131
Provider Name (Legal Business Name): MENTAL HEALTH ABOUNDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2683 ROUTE 34
OSWEGO IL
60543-8577
US

IV. Provider business mailing address

2501 CHATHAM RD STE N
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 630-506-1630
  • Fax:
Mailing address:
  • Phone: 630-506-1630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: HILDA BONSU
Title or Position: PMHNP
Credential: APRN
Phone: 630-506-1630