Healthcare Provider Details

I. General information

NPI: 1003585126
Provider Name (Legal Business Name): MOTHERGOOD HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2021
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 W HIGGINS RD STE 950
SOUTH BARRINGTON IL
60010-9140
US

IV. Provider business mailing address

33 W HIGGINS RD STE 950
SOUTH BARRINGTON IL
60010-9140
US

V. Phone/Fax

Practice location:
  • Phone: 847-986-8010
  • Fax: 847-986-8106
Mailing address:
  • Phone: 847-986-8010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW JOHN MCCUE
Title or Position: CO-FOUNDER
Credential:
Phone: 312-315-8983