Healthcare Provider Details

I. General information

NPI: 1093318164
Provider Name (Legal Business Name): VICTRESS, A WELLNESS CENTER FOR WOMEN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 02/28/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7110 W 127TH ST STE 150
PALOS HEIGHTS IL
60463-1579
US

IV. Provider business mailing address

7120 W 127TH ST
PALOS HEIGHTS IL
60463-1560
US

V. Phone/Fax

Practice location:
  • Phone: 708-261-5728
  • Fax:
Mailing address:
  • Phone: 708-428-2527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. CAITLIN SCHMIDT
Title or Position: OWNER
Credential:
Phone: 708-261-5728