Healthcare Provider Details

I. General information

NPI: 1841098993
Provider Name (Legal Business Name): WOVEN WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 N 76TH CT
ELMWOOD PARK IL
60707-3005
US

IV. Provider business mailing address

2132 N 76TH CT
ELMWOOD PARK IL
60707-3005
US

V. Phone/Fax

Practice location:
  • Phone: 312-444-0904
  • Fax:
Mailing address:
  • Phone: 312-444-0904
  • 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: SHAINA ROSE HELM
Title or Position: OWNER
Credential: LCSW
Phone: 312-444-0904