=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659189454
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE ART OF WELL-BEING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/26/2024
-----------------------------------------------------
Last Update Date | 12/26/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3000 DUNDEE RD STE 101
-----------------------------------------------------
City | NORTHBROOK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60062-2424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-400-0078
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3000 DUNDEE RD STE 101
-----------------------------------------------------
City | NORTHBROOK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60062-2424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-400-0078
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-FOUNDER
-----------------------------------------------------
Name | CAROLINE NOVACK GREENWOOD
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 847-400-0078
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------