Provider Demographics
NPI:1548152358
Name:HEARTHSTONE P.C.
Entity type:Organization
Organization Name:HEARTHSTONE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRJAM
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:708-539-2917
Mailing Address - Street 1:9928 S LEAVITT ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-1822
Mailing Address - Country:US
Mailing Address - Phone:708-539-2917
Mailing Address - Fax:
Practice Address - Street 1:82 S LA GRANGE RD STE 205
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-6348
Practice Address - Country:US
Practice Address - Phone:708-316-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty