Healthcare Provider Details

I. General information

NPI: 1336051903
Provider Name (Legal Business Name): ARD THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 DEMPSTER ST UNIT 1
EVANSTON IL
60202-1119
US

IV. Provider business mailing address

1718 DEMPSTER ST UNIT 1
EVANSTON IL
60202-1119
US

V. Phone/Fax

Practice location:
  • Phone: 847-287-6983
  • Fax:
Mailing address:
  • Phone: 847-287-6983
  • 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: ANABELLE DOULAS
Title or Position: SOCIAL WORKER
Credential: LCSW, CADC
Phone: 847-287-6983