NPI Code Details Logo

NPI 1760365431

NPI 1760365431 : SAVOR IN GROWTH PLLC : ISLAND LAKE, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760365431
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SAVOR IN GROWTH PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/29/2025
-----------------------------------------------------
    Last Update Date     |    12/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    210 E PARKLAND DR 
-----------------------------------------------------
    City                 |    ISLAND LAKE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60042-8845
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    847-338-6261
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    210 E PARKLAND DR 
-----------------------------------------------------
    City                 |    ISLAND LAKE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60042-8845
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    847-338-6261
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     PAULINA  STEPHENS 
-----------------------------------------------------
    Credential           |    PSY D
-----------------------------------------------------
    Telephone            |    847-338-6261
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.