Healthcare Provider Details
I. General information
NPI: 1952221384
Provider Name (Legal Business Name): RISE & SHINE ACADEMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 OAK ST APT 3F
WINNETKA IL
60093-2550
US
IV. Provider business mailing address
800 OAK ST APT 3F
WINNETKA IL
60093-2550
US
V. Phone/Fax
- Phone: 224-392-7948
- Fax:
- Phone: 224-392-7948
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATERINA
WOLFSON
Title or Position: CEO
Credential:
Phone: 224-392-7948