Healthcare Provider Details

I. General information

NPI: 1871340349
Provider Name (Legal Business Name): ENVISION HEALTH & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 05/12/2024
Certification Date: 05/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 E ALGONQUIN RD STE 106
ALGONQUIN IL
60102-4227
US

IV. Provider business mailing address

1316 E ALGONQUIN RD STE 106
ALGONQUIN IL
60102-4227
US

V. Phone/Fax

Practice location:
  • Phone: 224-578-8991
  • Fax:
Mailing address:
  • Phone: 224-578-8991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE J BATOR
Title or Position: CEO/OWNER
Credential: PMHNP-BC, FNP-BC
Phone: 224-578-8991