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

Root & Vines Wellness, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1013774587

Root & Vines Wellness, PLLC is a Mental Health Clinic/Center (Including Community Mental Health 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

2919 N Racine Ave Bsmt
Chicago, IL 60657-4223
Phone: (505) 331-3467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1013774587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivy Malisow — Therapist · (505) 331-3467
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address2919 N Racine Ave Bsmt, Chicago, IL 60657-4223

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