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

Inner Wild Therapy PLLC

Organization Adult Mental Health Clinic/Center · NPI 1356195150

Inner Wild Therapy PLLC is an Adult Mental Health Clinic/Center in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
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

840 W Irving Park Rd # 302
Chicago, IL 60613-3011
Phone: (872) 269-4203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1356195150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Randle — Owner/Ceo · (773) 818-5875
NPI enumeratedApril 16, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address3453 W 115th Pl, Chicago, IL 60655-3622

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