Healthcare Provider Details
I. General information
NPI: 1972392314
Provider Name (Legal Business Name): HOHM PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2700 PATRIOT BLVD STE 250
GLENVIEW IL
60026-8021
US
IV. Provider business mailing address
2700 PATRIOT BLVD STE 250
GLENVIEW IL
60026-8021
US
V. Phone/Fax
- Phone: 847-200-7106
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARA
LONDERGAN
Title or Position: OWNER
Credential:
Phone: 773-914-0082