Healthcare Provider Details

I. General information

NPI: 1518816065
Provider Name (Legal Business Name): LABRIUT HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6374 N LINCOLN AVE STE 311
CHICAGO IL
60659-1283
US

IV. Provider business mailing address

6374 N LINCOLN AVE STE 311
CHICAGO IL
60659-1283
US

V. Phone/Fax

Practice location:
  • Phone: 847-675-3368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. NED SCHOENFELD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 847-675-3368