MEDICARE: CHICAGO PERINATAL THERAPY, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1053277525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO PERINATAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	1 E ERIE ST # 525-2692
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2740
Country	:	US
Telephone Number	:	312-612-9832
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 E ERIE ST # 525-2692
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2740
Country	:	US
Telephone Number	:	312-612-9832
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	SOPHIA KIHM
Credential	:	LCSW
Telephone Number	:	312-612-9832

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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