MEDICARE: MML 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1942141445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MML THERAPY, PLLC

Provider Business Mailing Address
First Line	:	244 S RANDALL RD
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-5529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1829 CANTERFIELD PKWY W
Second Line	:
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-9021
Country	:	US
Telephone Number	:	224-223-1144
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICIAN
Name	:	MEGAN MANTILLA LOSIK
Credential	:	LCSW
Telephone Number	:	224-223-1144

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/25/2026

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