DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THE THRESHOLDS

MEDICARE: THE THRESHOLDS
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
1101YM0800XMental Health Counselor
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669488029
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE THRESHOLDS
Provider Business Mailing Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-572-5500
Fax Number : 773-271-2597
Provider Business Practice Location Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-572-5500
Fax Number : 773-271-2597
Authorized Official
Title or Position : EXECUTIVE ASSISTANT
Name : MARCELLA KLAUER
Credential :
Telephone Number : 773-572-5480
Provider Enumeration Date : 07/31/2006
Last Update Date : 10/08/2025

Similar Medicare Providers

1124195599 — STEVEN L. WEINSTEIN M.D.
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-537-3677
Practice Fax:
1790816478 — AMY M SMITH LCSW
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-537-5500
Practice Fax:
1922201813 — PETER ILLING LCSW
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-572-5500
Practice Fax:
1174788095 — DR. SUSAN BURATTO MD
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-572-5500
Practice Fax:
1447407333 — THE THRESHOLDS
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-572-5500
Practice Fax: 773-537-3488
1043442643 — DR. ARTHUR JACEK KRZYZANOWSKI PSY.D.
Practice Location Address:
4101 N RAVENSWOOD AVE
CHICAGO, IL
60613-2193
Practice Phone: 773-572-5449
Practice Fax: 773-537-3455

Directions to “THE THRESHOLDS ” 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 © 2007-2025 (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.