Healthcare Provider Details
I. General information
NPI: 1528995743
Provider Name (Legal Business Name): EVERPATH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 SKOKIE BLVD STE 215
NORTHBROOK IL
60062-4043
US
IV. Provider business mailing address
332 NOTTINGHAM AVE
GLENVIEW IL
60025-5022
US
V. Phone/Fax
- Phone: 773-294-5557
- Fax:
- Phone: 773-294-5557
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROLYN
NAM
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 773-294-5557