Healthcare Provider Details

I. General information

NPI: 1982550828
Provider Name (Legal Business Name): ARK THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 W BELLE PLAINE AVE
CHICAGO IL
60613-1828
US

IV. Provider business mailing address

1915 W BELLE PLAINE AVE
CHICAGO IL
60613-1828
US

V. Phone/Fax

Practice location:
  • Phone: 312-685-1018
  • Fax:
Mailing address:
  • Phone: 312-685-1018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES NOAH GREEAR V
Title or Position: OWNER
Credential: MSW, LCSW
Phone: 312-685-1018