MEDICARE: CENTER FOR RELATIONAL WHOLENESS LTD

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366140915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR RELATIONAL WHOLENESS LTD

Provider Business Mailing Address
First Line	:	2601 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3491
Country	:	US
Telephone Number	:	312-718-9947
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3491
Country	:	US
Telephone Number	:	708-560-6653
Fax Number	:

Authorized Official
Title or Position	:	OWNER OF PRACTICE
Name	:	MARGARET VON GLAHN
Credential	:	LCPC
Telephone Number	:	708-560-6653

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	03/16/2023

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