Healthcare Provider Details

I. General information

NPI: 1265357073
Provider Name (Legal Business Name): GOLDEN THREAD PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROOSEVELT RD STE E220
GLEN ELLYN IL
60137-5868
US

IV. Provider business mailing address

800 ROOSEVELT RD STE E220
GLEN ELLYN IL
60137-5868
US

V. Phone/Fax

Practice location:
  • Phone: 815-230-1239
  • Fax:
Mailing address:
  • Phone:
  • 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: MARIE ZAHORICK
Title or Position: OWNER
Credential: APRN
Phone: 815-260-1239