Healthcare Provider Details

I. General information

NPI: 1154284487
Provider Name (Legal Business Name): GROSSMAN FAMILY THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5547 N RAVENSWOOD AVE STE 309
CHICAGO IL
60640-1125
US

IV. Provider business mailing address

5547 N RAVENSWOOD AVE STE 309
CHICAGO IL
60640-1125
US

V. Phone/Fax

Practice location:
  • Phone: 773-231-2354
  • Fax:
Mailing address:
  • Phone: 773-231-2354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SARA GROSSMAN
Title or Position: OWNER & THERAPIST
Credential: LMFT
Phone: 773-231-2354