MEDICARE: SHIRI VOJTA PSYCHOTHERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1053260109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIRI VOJTA PSYCHOTHERAPY PLLC

Provider Business Mailing Address
First Line	:	5401 S HYDE PARK BLVD APT 1502
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-5860
Country	:	US
Telephone Number	:	312-504-8811
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 S HYDE PARK BLVD APT 1502
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-5860
Country	:	US
Telephone Number	:	312-504-8811
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHIRI NICOLE VOJTA
Credential	:	LCSW
Telephone Number	:	312-504-8811

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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