Positive Impact Solution

Specialty details in registry · Matteson, IL

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At a glance

4749 Lincoln Mall Dr Ste 100, Matteson, IL 60443-3806

NPPES record updated Jul 27, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4749 Lincoln Mall Dr Ste 100
Matteson, IL 60443-3806

Professional details: NPI, taxonomy & registry record

NPI1124988506

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM0850X
Enumeration date: Nov 17, 2025
Record updated: Jul 27, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0850X · Primary

Specialty details in registry

261QM0855X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4749 Lincoln Mall Dr Ste 100
Matteson, IL 60443-3806

Phone: (312) 857-6175
Fax: (773) 901-3764

Mailing address

4749 LINCOLN MALL DR STE 100

MATTESON, IL 604433806

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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