Healthcare Provider Details

I. General information

NPI: 1477474104
Provider Name (Legal Business Name): ALEXIS JOY KUHLMANN LCPC, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2722 N SAWYER AVE # 3B
CHICAGO IL
60647-6894
US

IV. Provider business mailing address

2722 N SAWYER AVE # 3B
CHICAGO IL
60647-6894
US

V. Phone/Fax

Practice location:
  • Phone: 847-372-5677
  • Fax:
Mailing address:
  • Phone: 847-372-5677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.018504
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: