Healthcare Provider Details

I. General information

NPI: 1841165396
Provider Name (Legal Business Name): CONTIGO THERAPEUTIC SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 N NORTHWEST HWY STE B2
PARK RIDGE IL
60068-3272
US

IV. Provider business mailing address

1224 N NORTHWEST HWY
PARK RIDGE IL
60068-1645
US

V. Phone/Fax

Practice location:
  • Phone: 773-900-1919
  • Fax:
Mailing address:
  • Phone: 773-900-1919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMEN CONSUELO OLALDE
Title or Position: OWNER
Credential: LSW
Phone: 773-900-1919