Healthcare Provider Details

I. General information

NPI: 1588582530
Provider Name (Legal Business Name): TOHI PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CURTISS ST UNIT 4
DOWNERS GROVE IL
60515-5903
US

IV. Provider business mailing address

PO BOX 4
DOWNERS GROVE IL
60515-0004
US

V. Phone/Fax

Practice location:
  • Phone: 224-567-0219
  • Fax:
Mailing address:
  • Phone: 224-567-0219
  • 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 StateNULL

VIII. Authorized Official

Name: STEPHANIE KUTELLA
Title or Position: PMHNP-BC
Credential: APRN
Phone: 224-567-0219