Healthcare Provider Details
I. General information
NPI: 1780592568
Provider Name (Legal Business Name): TRUE IMAGE THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
455 E WATERSIDE DR
CHICAGO IL
60601-0014
US
IV. Provider business mailing address
1 E ERIE ST STE 525
CHICAGO IL
60611-2980
US
V. Phone/Fax
- Phone: 872-239-4107
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VERONICA
MCALLISTER
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCPC
Phone: 872-239-4107