Healthcare Provider Details

I. General information

NPI: 1013832013
Provider Name (Legal Business Name): WARE WELLNESS AND THERAPEUTICS 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

16 N AYER ST
HARVARD IL
60033-2861
US

IV. Provider business mailing address

16 N AYER ST
HARVARD IL
60033-2861
US

V. Phone/Fax

Practice location:
  • Phone: 815-770-0082
  • Fax:
Mailing address:
  • Phone: 815-770-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WARE
Title or Position: MANAGER
Credential: DNP. PMHNP-BC
Phone: 847-922-6933