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

Organization Clinical Social Worker · NPI 1013557644

Illumination Psychotherapy, PLLC is a Clinical Social Worker in Lincolnwood, Illinois. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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

7300 N Cicero Ave Ste 102A
Lincolnwood, IL 60712-1641
Phone: (773) 318-7304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5557 1/2 N Magnolia Ave Apt 3e, Chicago, IL 60640-1334 — (773) 318-7304

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1013557644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Garrett Shotwell — Owner, Ceo · (773) 318-7304
NPI enumeratedJanuary 11, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020
Mailing address7300 N Cicero Ave Ste 102a, Lincolnwood, IL 60712-1641

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