Healthcare Provider Details
I. General information
NPI: 1154239341
Provider Name (Legal Business Name): ENLIGHTENED SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1701 E LAKE AVE STE 455
GLENVIEW IL
60025-5535
US
IV. Provider business mailing address
1717 INDEPENDENCE AVE
GLENVIEW IL
60026-7721
US
V. Phone/Fax
- Phone: 309-360-0913
- Fax:
- Phone: 309-360-0913
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KRISTINA
MURUKURTHY
Title or Position: OWNER
Credential: LCPC/PHD
Phone: 309-360-0913