Healthcare Provider Details

I. General information

NPI: 1942141445
Provider Name (Legal Business Name): MML THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1829 CANTERFIELD PKWY W
WEST DUNDEE IL
60118-9021
US

IV. Provider business mailing address

244 S RANDALL RD
ELGIN IL
60123-5529
US

V. Phone/Fax

Practice location:
  • Phone: 224-223-1144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MEGAN MANTILLA LOSIK
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 224-223-1144