Provider Demographics
NPI:1215570296
Name:PEACE OF MIND
Entity Type:Organization
Organization Name:PEACE OF MIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-450-7100
Mailing Address - Street 1:995 N KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-2236
Mailing Address - Country:US
Mailing Address - Phone:815-450-7100
Mailing Address - Fax:815-304-4415
Practice Address - Street 1:995 N KENNEDY DR
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-2236
Practice Address - Country:US
Practice Address - Phone:815-450-7100
Practice Address - Fax:815-304-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center