Healthcare Provider Details

I. General information

NPI: 1487588208
Provider Name (Legal Business Name): AUTHENTIC SELF WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 65TH ST
DOWNERS GROVE IL
60516-3020
US

IV. Provider business mailing address

626 65TH ST
DOWNERS GROVE IL
60516-3020
US

V. Phone/Fax

Practice location:
  • Phone: 708-921-0579
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JULIA SALAH
Title or Position: OWNER
Credential: LCPC
Phone: 708-921-0579