EVENTIDE WELLNESS INC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1033714753

EVENTIDE WELLNESS INC is a healthcare provider. based in Manteno, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for EVENTIDE WELLNESS INC is 1033714753

Main info

Organization
Name
EVENTIDE WELLNESS INC
NPI
1033714753
Phone
(708) 275-0934
Address
PO BOX 764
Authorized Official
MR. TIMOTHY MICHAEL JENKINS ED AND ACTING SECRETARY LCPC
Enumeration Date
1 December 2020
Last Update Date
1 December 2020

Contacts

Main Contact
http://www.eventidewellness.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

Provider Addresses for EVENTIDE WELLNESS INC

  • PO BOX 764

    MANTENO, IL 609500764

    Phone: (708) 275-0934

    Fax: (888) 419-1594

    Type: Mailing

  • 7021 W 153RD ST STE 5

    ORLAND PARK, IL 604625397

    Phone: (708) 381-5009

    Fax: (888) 419-1594

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60950)

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Reviews

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Frequently asked questions

How do payers reference EVENTIDE WELLNESS INC?
For EVENTIDE WELLNESS INC, use NPI 1033714753 as the unique 10-digit identifier.
Is EVENTIDE WELLNESS INC shown as active in public data?
Registry records indicate EVENTIDE WELLNESS INC maintains an active NPI.
What kind of doctor is EVENTIDE WELLNESS INC?
EVENTIDE WELLNESS INC is associated with Mental Health Clinic/Center (Including Community Mental Health Center) in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for EVENTIDE WELLNESS INC?
Travel planning: use Manteno, Illinois as the reference point for EVENTIDE WELLNESS INC, then confirm.
Can I trust this NPI listing for EVENTIDE WELLNESS INC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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