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

Private Practice

Organization Adult Mental Health Clinic/Center · NPI 1811374309

Private Practice is an Adult Mental Health Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

30 N Michigan Ave Ste 1002
Chicago, IL 60602-3402
Phone: (786) 269-6864
Show map & directions

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

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence 149015655 (IL)

Record details

NPI number1811374309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Reinecke — Psychotherapist · (786) 269-6864
NPI enumeratedMay 4, 2015
Last updated in NPPESMay 4, 2015
Mailing address1524 W Winnemac Ave, Apt. 7, Chicago, IL 60640-2850

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