Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Engram

Organization Physical Therapist · NPI 1295404820

Engram is a Physical Therapist in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

2655 W Peterson Ave
Chicago, IL 60659-4017
Phone: (630) 729-4344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1295404820
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEngram
Authorized official Carla Mae Haverland — Ceo · (630) 729-4344
Other names Engram Therapy And Wellness Clinic
NPI enumeratedSeptember 8, 2021
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022
Mailing address2655 W Peterson Ave, Chicago, IL 60659-4017

Other providers in Chicago