Provider Demographics
NPI:1437617057
Name:A HOPEFUL MIND INC
Entity Type:Organization
Organization Name:A HOPEFUL MIND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKOSH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:708-465-4066
Mailing Address - Street 1:11952 S HARLEM AVE STE 200A
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1390
Mailing Address - Country:US
Mailing Address - Phone:708-465-4066
Mailing Address - Fax:708-827-5014
Practice Address - Street 1:11952 S HARLEM AVE STE 200A
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1390
Practice Address - Country:US
Practice Address - Phone:708-465-4066
Practice Address - Fax:708-827-5014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty