Provider Demographics
NPI:1619738234
Name:HOMEBODY THERAPY
Entity Type:Organization
Organization Name:HOMEBODY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPERT WESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:815-687-8260
Mailing Address - Street 1:3101 N RIDGEWAY AVE UNIT 3E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-9762
Mailing Address - Country:US
Mailing Address - Phone:913-967-9330
Mailing Address - Fax:
Practice Address - Street 1:3101 N RIDGEWAY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-9762
Practice Address - Country:US
Practice Address - Phone:913-967-9330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty