Provider Demographics
NPI:1003585126
Name:MOTHERGOOD HEALTH PLLC
Entity Type:Organization
Organization Name:MOTHERGOOD HEALTH PLLC
Other - Org Name:MOTHERGOOD HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCCUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-315-8983
Mailing Address - Street 1:2815 FORBS AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-3731
Mailing Address - Country:US
Mailing Address - Phone:312-315-8983
Mailing Address - Fax:
Practice Address - Street 1:2815 FORBS AVE STE 107
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3731
Practice Address - Country:US
Practice Address - Phone:312-315-8983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-11
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty