Healthcare Provider Details

I. General information

NPI: 1386590420
Provider Name (Legal Business Name): PINNACLEMENTALHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16537 OAK PARK AVE
TINLEY PARK IL
60477-1752
US

IV. Provider business mailing address

1146 HEATHER HILL CRES
FLOSSMOOR IL
60422-1452
US

V. Phone/Fax

Practice location:
  • Phone: 773-829-5731
  • Fax:
Mailing address:
  • Phone: 773-829-5731
  • Fax: 773-829-5731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NGOZI COMFORT IDIA
Title or Position: OWNER
Credential:
Phone: 773-829-5731