Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mellow Mind LLC

Organization Family Medicine Physician · NPI 1114793585

Mellow Mind LLC is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5113 S Harper Ave
Chicago, IL 60615-4119
Phone: (708) 840-1362
Fax: (708) 833-7392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1114793585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim McCoy — President · (708) 833-7392
NPI enumeratedNovember 28, 2023
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
Mailing address5113 S Harper Ave, Chicago, IL 60615-4119

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