Healthcare Provider Details
I. General information
NPI: 1255268942
Provider Name (Legal Business Name): TOMORROWS LIGHT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6046 W NORTH AVE
CHICAGO IL
60639-3952
US
IV. Provider business mailing address
2311 N RUTHERFORD AVE
CHICAGO IL
60707-2906
US
V. Phone/Fax
- Phone: 773-332-4678
- Fax:
- Phone: 773-332-4678
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NIKTORIA
JULIAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 773-332-4678