Healthcare Provider Details

I. General information

NPI: 1205745577
Provider Name (Legal Business Name): AT THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8864 NORTHSHORE DR APT 1C
DES PLAINES IL
60016-4143
US

IV. Provider business mailing address

8864 NORTHSHORE DR
DES PLAINES IL
60016-4190
US

V. Phone/Fax

Practice location:
  • Phone: 773-829-5269
  • Fax:
Mailing address:
  • Phone:
  • 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: ANUM ZAFAR
Title or Position: THERAPIST
Credential: LCSW
Phone: 773-829-5269