Healthcare Provider Details

I. General information

NPI: 1407710429
Provider Name (Legal Business Name): VRAKAS THERAPY SUPPORT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3532 MAPLE LEAF DR
GLENVIEW IL
60026-1159
US

IV. Provider business mailing address

3532 MAPLE LEAF DR
GLENVIEW IL
60026-1159
US

V. Phone/Fax

Practice location:
  • Phone: 312-806-7818
  • Fax:
Mailing address:
  • Phone: 312-806-7818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALISON BLAIR VRAKAS
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 312-806-7818