Healthcare Provider Details

I. General information

NPI: 1568373140
Provider Name (Legal Business Name): ROOT & RISE WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 FREEMONT ST
SANDWICH IL
60548-2236
US

IV. Provider business mailing address

1044 DEER RUN TRL
SANDWICH IL
60548-1168
US

V. Phone/Fax

Practice location:
  • Phone: 630-715-2623
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER GELTZ
Title or Position: FOUNDER/COUNSELOR
Credential: LCSW
Phone: 630-715-2623