=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881475242
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INNER PEACE PSYCHOLOGICAL CARE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/11/2023
-----------------------------------------------------
Last Update Date | 01/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 N MARTINGALE RD STE 400
-----------------------------------------------------
City | SCHAUMBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60173-2411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-230-4242
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 999 N PLAZA DR STE 380
-----------------------------------------------------
City | SCHAUMBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60173-5405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-230-4242
-----------------------------------------------------
Fax | 224-366-6903
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CLINICAL PSYCHOLOGIST
-----------------------------------------------------
Name | DR. MICHELE SITORUS
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 847-230-4242
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------