Healthcare Provider Details

I. General information

NPI: 1598686735
Provider Name (Legal Business Name): CULTURE OF CARE BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7234 W NORTH AVE STE 208
ELMWOOD PARK IL
60707-4202
US

IV. Provider business mailing address

2501 CHATHAM RD STE R
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 618-746-0052
  • Fax: 618-746-0052
Mailing address:
  • Phone: 618-746-0052
  • Fax: 618-300-7060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHONTEL RAY
Title or Position: OWNER
Credential: DNP, PMHNP, MBA
Phone: 618-741-1079