Provider Demographics
NPI:1245013903
Name:MENTAL HEALTH GROUP INC
Entity type:Organization
Organization Name:MENTAL HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-603-4566
Mailing Address - Street 1:9933 FRANKLIN AVE STE 2B
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60131-1928
Mailing Address - Country:US
Mailing Address - Phone:847-603-4566
Mailing Address - Fax:800-604-1874
Practice Address - Street 1:9933 FRANKLIN AVE STE 2B
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:IL
Practice Address - Zip Code:60131-1928
Practice Address - Country:US
Practice Address - Phone:847-603-4566
Practice Address - Fax:800-604-1874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty