Healthcare Provider Details

I. General information

NPI: 1609746882
Provider Name (Legal Business Name): INSPIRA BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5621 W 104TH ST APT A2
OAK LAWN IL
60453-4570
US

IV. Provider business mailing address

5621 W 104TH ST APT A2
OAK LAWN IL
60453-4570
US

V. Phone/Fax

Practice location:
  • Phone: 773-983-0001
  • Fax: 773-983-0001
Mailing address:
  • Phone: 773-983-0001
  • Fax: 773-983-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA GONZALEZ
Title or Position: OWNER/BCBA
Credential: BCBA
Phone: 773-983-0001