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

Grow Wild and Wise, PLLC

Organization Clinical Social Worker · NPI 1790596583

Grow Wild and Wise, PLLC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

540 N Lake Shore Dr Apt 204
Chicago, IL 60611-3415
Phone: (269) 760-0369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1790596583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brittany Radziwon — Owner, Psychotherapist · (269) 760-0369
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address540 N Lake Shore Dr Apt 204, Chicago, IL 60611-3415

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