MEDICARE: GLOW EXPRESSIVE ARTS THERAPY LLC

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	:	1548072754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOW EXPRESSIVE ARTS THERAPY LLC

Provider Business Mailing Address
First Line	:	2227 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-3122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2227 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-3122
Country	:	US
Telephone Number	:	773-683-2435
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALLISON ANICH
Credential	:	LCSW
Telephone Number	:	773-683-2435

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	01/23/2025

Similar Medicare Providers

1750753992 — AMBER BOUDA LCSW
Practice Location Address:

2227 N WESTERN AVE STE 1
CHICAGO, IL
60647-3122

Practice Phone: 630-566-3529
Practice Fax:

1851826606 — AM THERAPY PRACTICE PC
Practice Location Address:

2227 N WESTERN AVE STE 1
CHICAGO, IL
60647-3122

Practice Phone: 630-566-3529
Practice Fax:

1699484980 — ALLISON ANICH
Practice Location Address:

2227 N WESTERN AVE
CHICAGO, IL
60647-3122

Practice Phone: 773-683-2435
Practice Fax:

1689129405 — AMANDA HOFBAUER
Practice Location Address:

3139 N LINCOLN AVE STE 202
CHICAGO, IL
60657-3122

Practice Phone: 312-857-6270
Practice Fax:

1194599902 — DR. LOGAN STOHLE, LLC
Practice Location Address:

3139 N LINCOLN AVE STE 210A
CHICAGO, IL
60657-3122

Practice Phone: 847-636-9528
Practice Fax:

1255294260 — ARDOR INTIMACY PLLC
Practice Location Address:

3139 N LINCOLN AVE STE 203
CHICAGO, IL
60657-3122

Practice Phone: 773-340-0203
Practice Fax:

Directions to “GLOW EXPRESSIVE ARTS THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.