Healthcare Provider Details

I. General information

NPI: 1861312399
Provider Name (Legal Business Name): DEEPLY ROOTED PSYCHOLOGICAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 FORBS AVE STE 107
HOFFMAN ESTATES IL
60192-3731
US

IV. Provider business mailing address

2815 FORBS AVE STE 107
HOFFMAN ESTATES IL
60192-3731
US

V. Phone/Fax

Practice location:
  • Phone: 847-851-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMY CHODOROWSKI
Title or Position: OWNER
Credential:
Phone: 630-278-9454