Healthcare Provider Details

I. General information

NPI: 1669910766
Provider Name (Legal Business Name): SPRING PRACTICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 N RANDOLPH ST STE 2
CHAMPAIGN IL
61820-3976
US

IV. Provider business mailing address

2735 HASSERT BLVD STE 135-301
NAPERVILLE IL
60564-5204
US

V. Phone/Fax

Practice location:
  • Phone: 312-339-8604
  • Fax:
Mailing address:
  • Phone: 312-339-8604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number227006450
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number149011405
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number149011405
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number149011405
License Number StateIL

VIII. Authorized Official

Name: JULIE KYLE
Title or Position: OWNER
Credential:
Phone: 312-339-8604