Healthcare Provider Details

I. General information

NPI: 1396528493
Provider Name (Legal Business Name): CAROLINE AIKEN LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 ELGIN AVE APT 2
FOREST PARK IL
60130-3244
US

IV. Provider business mailing address

620 ELGIN AVE APT 2
FOREST PARK IL
60130-3244
US

V. Phone/Fax

Practice location:
  • Phone: 773-336-2698
  • Fax:
Mailing address:
  • Phone: 773-336-2698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLINE ANN AIKEN
Title or Position: PSYCHOTHERAPIST/MEMBER
Credential: LCSW
Phone: 773-865-6023