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General NPI Number Information
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NPI Number | 1316799729
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Entity Type | Organization
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Legal Business Name | A BEAUTIFUL MIND PSYCHIATRY PLLC
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 20280 GOVERNORS HWY STE 106
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1068
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Country | US
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Telephone | 708-729-9006
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Fax | 708-540-2448
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Provider Business Mailing Address
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Address Line | 6700 167TH ST STE 4
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City | TINLEY PARK
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State | IL
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Zip | 60477-2078
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Country | US
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Telephone | 708-668-4902
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | MR. JAMES E. YOUNG III
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Credential | NP-BC
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Telephone | 708-640-6951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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