Healthcare Provider Details

I. General information

NPI: 1780187856
Provider Name (Legal Business Name): ME IN THE MAKING WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2018
Last Update Date: 09/02/2025
Certification Date: 03/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20200 GOVERNORS DR FL 3
OLYMPIA FIELDS IL
60461-1032
US

IV. Provider business mailing address

20200 GOVERNORS DR FL 3
OLYMPIA FIELDS IL
60461-1032
US

V. Phone/Fax

Practice location:
  • Phone: 773-990-0687
  • Fax:
Mailing address:
  • Phone: 773-990-0687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DJONESE TURNER
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC
Phone: 773-990-0687