Mind Revival Psych Inc
Mind Revival Psych Inc is a Psychiatric/Mental Health Nurse Practitioner in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7201 S Stony Island Ave # 7Chicago, IL 60649-2806
Phone: (773) 690-5300
Fax: (870) 201-4835
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1918 W Irving Park Rd, Chicago, IL 60613-6267 — (773) 690-5300
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1043182280 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ebonie Williams — Np/Owner · (708) 715-2035 |
| NPI enumerated | September 18, 2025 |
| Last updated in NPPES | December 12, 2025 |
| Certification date | December 12, 2025 |
| Mailing address | 7201 S Stony Island Ave # 7, Chicago, IL 60649-2806 |
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