Healthcare Provider Details

I. General information

NPI: 1649192279
Provider Name (Legal Business Name): SHELTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3227 N WILKE RD STE 150
ARLINGTON HEIGHTS IL
60004-1454
US

IV. Provider business mailing address

3227 N WILKE RD STE 150
ARLINGTON HEIGHTS IL
60004-1454
US

V. Phone/Fax

Practice location:
  • Phone: 847-815-9983
  • Fax: 847-590-6184
Mailing address:
  • Phone: 847-815-9983
  • Fax: 847-590-6184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE KAWA
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 224-323-6558