Provider Demographics
NPI:1588535140
Name:PINNACLEMENTALHEALTH LLC
Entity type:Organization
Organization Name:PINNACLEMENTALHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER (RESPONSIBLE)
Authorized Official - Prefix:
Authorized Official - First Name:COMFORT
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:IDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-829-5731
Mailing Address - Street 1:1146 HEATHER HILL CRES
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1452
Mailing Address - Country:US
Mailing Address - Phone:773-829-5731
Mailing Address - Fax:773-829-5731
Practice Address - Street 1:16537 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-1752
Practice Address - Country:US
Practice Address - Phone:773-829-5731
Practice Address - Fax:773-829-5731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health