MEDICARE: ARK 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1982550828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARK THERAPY LLC

Provider Business Mailing Address
First Line	:	1915 W BELLE PLAINE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-1828
Country	:	US
Telephone Number	:	312-685-1018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1915 W BELLE PLAINE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-1828
Country	:	US
Telephone Number	:	312-685-1018
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES NOAH GREEAR V
Credential	:	MSW, LCSW
Telephone Number	:	312-685-1018

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ARK THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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