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

Mind Body Behavioral Health, Plcc

Organization Family Nurse Practitioner · NPI 1649001314

Mind Body Behavioral Health, Plcc is a Family Nurse Practitioner in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

680 N Lake Shore Dr Ste 1101768
Chicago, IL 60611-4546
Phone: (847) 680-9924
Fax: (847) 680-9924
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1649001314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dayna Long — Owner/Clinician · (708) 606-1147
NPI enumeratedAugust 13, 2024
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address1s150 Spring Rd Apt 3i, Oakbrook Terrace, IL 60181-4612

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