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General NPI Number Information
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NPI Number | 1861141897
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Entity Type | Organization
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Legal Business Name | BRIGHTSTAR MENTAL HEALTH LLC
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 07/20/2025
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Provider Practice Location Address
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Address Line | 2815 FORBS AVE STE 107
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-3731
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Country | US
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Telephone | 847-865-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 2815 FORBS AVE STE 107
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-3731
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Country | US
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Telephone | 847-865-8424
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Fax |
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Authorized Official
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Title or Position | APN
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Name | QUINETTE IHEANYICHUKWU
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Credential | APRN
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Telephone | 847-865-8424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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