Obsidian Institute Of Integrative Medicine
Mental Health Counselor · Midlothian, IL
At a glance
4718 147Th St, Midlothian, IL 60445-2527
NPPES record updated May 7, 2026. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
4718 147Th StMidlothian, IL 60445-2527
Additional reported practice locations
14741 Main StHarvey, IL 604261922
Phone: 7084622134 4720 147Th St
Midlothian, IL 604452527
Phone: 7087040489
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Mental Health Counselor
- Taxonomy code
- 101YM0800X
- Enumeration date
- Apr 11, 2017
- Record updated
- May 7, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
101Y00000X
Mental Health Counselor
101YM0800X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4718 147Th StMidlothian, IL 60445-2527
- Phone
- (708) 704-0489
- Fax
- (888) 592-0804
Mailing address
4718 147TH STMIDLOTHIAN, IL 604452527
Information may be outdated or incomplete.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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