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NPI Code Detail

MEDICARE: THEOMIND PSYCHIATRY, PLLC

MEDICARE: THEOMIND PSYCHIATRY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1508757246
Entity Type Code : Organization
Provider Name (Legal Business Name) : THEOMIND PSYCHIATRY, PLLC
Provider Business Mailing Address
First Line : 415 W GOLF RD STE 28H
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-3923
Country : US
Telephone Number : 847-238-2335
Fax Number : 646-814-9884
Provider Business Practice Location Address
First Line : 415 W GOLF RD STE 28H
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-3923
Country : US
Telephone Number : 847-238-2335
Fax Number : 646-814-9884
Authorized Official
Title or Position : MANAGER
Name : DR. SHIN WOOK LEE
Credential : MD
Telephone Number : 847-238-2335
Provider Enumeration Date : 07/11/2025
Last Update Date : 03/10/2026

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Directions to “THEOMIND PSYCHIATRY, PLLC ” Practice Location

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