Provider Demographics
NPI:1477399228
Name:ITUNU LLC
Entity type:Organization
Organization Name:ITUNU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOMIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-553-1306
Mailing Address - Street 1:6160 N CICERO AVE STE 122
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-4308
Mailing Address - Country:US
Mailing Address - Phone:773-783-7229
Mailing Address - Fax:872-225-0037
Practice Address - Street 1:6160 N CICERO AVE STE 122
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4308
Practice Address - Country:US
Practice Address - Phone:773-783-7229
Practice Address - Fax:872-225-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty