Healthcare Provider Details

I. General information

NPI: 1962337964
Provider Name (Legal Business Name): MENTAL HEALTH MATTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1S218 RADFORD LN
VILLA PARK IL
60181-3663
US

IV. Provider business mailing address

1S218 RADFORD LN
VILLA PARK IL
60181-3663
US

V. Phone/Fax

Practice location:
  • Phone: 773-877-4652
  • Fax:
Mailing address:
  • Phone: 312-590-5495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: PEARLE AO OLATUNJI
Title or Position: OWNER, PSYCHIATRIC NP,
Credential: NP
Phone: 773-877-4652