Healthcare Provider Details
I. General information
NPI: 1518837178
Provider Name (Legal Business Name): D&S WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1603 ORRINGTON AVE
EVANSTON IL
60201-3841
US
IV. Provider business mailing address
1603 ORRINGTON AVE
EVANSTON IL
60201-3841
US
V. Phone/Fax
- Phone: 773-644-1035
- Fax:
- Phone: 773-644-1035
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SIMONA
DOBOCAN
Title or Position: PMHNP
Credential: PMHNP, DNP
Phone: 773-879-3606