Healthcare Provider Details

I. General information

NPI: 1780514802
Provider Name (Legal Business Name): U&I THERAPY AND WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8833 GROSS POINT RD STE 300
SKOKIE IL
60077-1859
US

IV. Provider business mailing address

8833 GROSS POINT RD STE 300
SKOKIE IL
60077-1859
US

V. Phone/Fax

Practice location:
  • Phone: 773-501-2361
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAZIA BATUL IMRAN
Title or Position: CEO
Credential:
Phone: 773-501-2361