Healthcare Provider Details
I. General information
NPI: 1952614679
Provider Name (Legal Business Name): NVISION YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2010
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
405 N WABASH AVE SUITE 2511
CHICAGO IL
60611-5668
US
IV. Provider business mailing address
405 N WABASH AVE SUITE 2511
CHICAGO IL
60611-5668
US
V. Phone/Fax
- Phone: 312-955-1212
- Fax: 312-955-0447
- Phone: 312-955-1212
- Fax: 312-955-0447
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 071006710 |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
MONIKA
SHARMA
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 312-405-1091