Healthcare Provider Details

I. General information

NPI: 1386559326
Provider Name (Legal Business Name): EASE EDUCATIONAL AND THERAPEUTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7211 S ROCKWELL ST
CHICAGO IL
60629-2029
US

IV. Provider business mailing address

7211 S ROCKWELL ST
CHICAGO IL
60629-2029
US

V. Phone/Fax

Practice location:
  • Phone: 773-727-0574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. NICOLE BILLINGS
Title or Position: OWNER
Credential: ED.D.
Phone: 773-727-0574