=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700734951
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WINDING PATH BEHAVIORAL HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2026
-----------------------------------------------------
Last Update Date | 03/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 930 N YORK RD STE 206
-----------------------------------------------------
City | HINSDALE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60521-2913
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-307-5828
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10525 S KENNETH AVE
-----------------------------------------------------
City | OAK LAWN
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60453-5335
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-307-5828
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL PSYCHOLOGIST/MANAGER
-----------------------------------------------------
Name | DR. ERIN MAREK-KRAWCZYK
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 312-307-5828
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------