Healthcare Provider Details

I. General information

NPI: 1588510986
Provider Name (Legal Business Name): HEAL WITHIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10522 S CICERO AVE STE 404
OAK LAWN IL
60453-5290
US

IV. Provider business mailing address

9728 S TRIPP AVE
OAK LAWN IL
60453-3552
US

V. Phone/Fax

Practice location:
  • Phone: 708-818-8825
  • Fax:
Mailing address:
  • Phone: 708-818-8825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TAMMIE WALKER
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 708-818-8825