MEDICARE: HEADWINDS THERAPY 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1528932605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEADWINDS THERAPY PLLC

Provider Business Mailing Address
First Line	:	510 N LAKE ST STE 207
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-1865
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 N LAKE ST STE 207
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-1865
Country	:	US
Telephone Number	:	847-975-7842
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RUBI BOLLES
Credential	:
Telephone Number	:	224-338-6103

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	01/19/2026

Similar Medicare Providers

1598913220 — DR. JOANN KENDRICK NISHIMOTO PSY.D.
Practice Location Address:

510 N LAKE ST
MUNDELEIN, IL
60060-1865

Practice Phone: 847-337-7892
Practice Fax:

1336655950 — MUNDELEIN DENTAL CLINIC LLC
Practice Location Address:

3074 W IL ROUTE 60
MUNDELEIN, IL
60060-4270

Practice Phone: 847-970-7070
Practice Fax:

1548127194 — SEAN WOODFORD PSYD, CADC
Practice Location Address:

405 WASHINGTON BLVD STE 201
MUNDELEIN, IL
60060-3104

Practice Phone: 847-566-0164
Practice Fax:

1386641439 — DR. KRISTEN LYNN CRESSWELL O.D.
Practice Location Address:

824 N IL ROUTE 83
MUNDELEIN, IL
60060-9159

Practice Phone: 847-362-2020
Practice Fax:

1588666150 — LAKE COUNTY MEDICAL GROUP SC
Practice Location Address:

157 N SEYMOUR AVE
MUNDELEIN, IL
60060-2304

Practice Phone: 847-566-0300
Practice Fax: 847-566-2818

1851384200 — CHHAYA CHANDEL M.D
Practice Location Address:

550 N MIDLOTHIAN RD , # 400
MUNDELEIN, IL
60060-1613

Practice Phone: 847-837-1923
Practice Fax: 847-837-1924

Directions to “HEADWINDS THERAPY 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.