MEDICARE: ON THE VERGE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1366373557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON THE VERGE PLLC

Provider Business Mailing Address
First Line	:	2200 W BERWYN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-1119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 W BERWYN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-1119
Country	:	US
Telephone Number	:	312-967-9848
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH ILLINGWORTH
Credential	:	LCSW
Telephone Number	:	312-967-9848

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

Similar Medicare Providers

1053147447 — ANDREA ELIZABETH BLACIO
Practice Location Address:

1657 W CORTLAND ST
CHICAGO, IL
60622-1119

Practice Phone: 877-486-4140
Practice Fax:

1922938307 — AMANDA LEE
Practice Location Address:

1657 W CORTLAND ST
CHICAGO, IL
60622-1119

Practice Phone: 877-486-4140
Practice Fax:

1417887746 — NYJHA HUDSON
Practice Location Address:

1657 W CORTLAND ST
CHICAGO, IL
60622-1119

Practice Phone: 877-486-4140
Practice Fax:

1720917172 — ADELYNN GISELLE CAMPOVERDE
Practice Location Address:

1657 W CORTLAND ST
CHICAGO, IL
60622-1119

Practice Phone: 877-486-4140
Practice Fax:

1164499257 — GERSON H KAPLAN MD SC
Practice Location Address:

111 N WABASH AVE , STE 1119
CHICAGO, IL
60602-3128

Practice Phone: 312-782-0319
Practice Fax: 312-263-7636

1497946867 — MRS. CATHY SHIEL-REARDON MA
Practice Location Address:

6220 NORTH PAULINA
CHICAGO, IL
60660-1119

Practice Phone: 773-465-8658
Practice Fax:

Directions to “ON THE VERGE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.