Healthcare Provider Details

I. General information

NPI: 1205778974
Provider Name (Legal Business Name): GUIDED PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 SHERMAN AVE STE 205A
EVANSTON IL
60201-3753
US

IV. Provider business mailing address

1537 WASHINGTON AVE
WILMETTE IL
60091-2416
US

V. Phone/Fax

Practice location:
  • Phone: 407-489-4060
  • Fax:
Mailing address:
  • Phone: 847-242-1480
  • Fax: 847-628-0464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SOPHIANNE SCHWAB
Title or Position: MD/PSYCHIATRIST
Credential: MD
Phone: 407-489-4060