Healthcare Provider Details

I. General information

NPI: 1437776879
Provider Name (Legal Business Name): VESNA HEALING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 W MORSE AVE APT 203
CHICAGO IL
60626-5675
US

IV. Provider business mailing address

1225 W MORSE AVE APT 203
CHICAGO IL
60626-5675
US

V. Phone/Fax

Practice location:
  • Phone: 773-443-6137
  • Fax:
Mailing address:
  • Phone: 773-443-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MONIKA GUTKOWSKA
Title or Position: PSYCHOLOGIST/OWNER
Credential: PSYD
Phone: 773-443-6137