Healthcare Provider Details

I. General information

NPI: 1194487850
Provider Name (Legal Business Name): WORKIT HEALTH MI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2021
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 IROQUOIS AVE STE 402
NAPERVILLE IL
60563-8570
US

IV. Provider business mailing address

PO BOX 96357
PHOENIX AZ
85072-6357
US

V. Phone/Fax

Practice location:
  • Phone: 941-539-9889
  • Fax:
Mailing address:
  • Phone: 855-408-1143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE MCGRATH
Title or Position: CHIEF GROWTH OFFICER
Credential:
Phone: 989-372-8124