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RETAKE ON LIFE
NPI 1295379279
Counselor - Professional in Chicago, IL

Active since November 01, 2019
9415 S WESTERN AVE, CHICAGO, IL 60643(773) 998-7848 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Retake On Life NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETAKE ON LIFE (NPI 1295379279), doing business as Jamillah Davis, is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since November 2019. The organization lists Jamillah Davis, Licensed Clin Prof Counselor, as its authorized official.

NPPES Registry Identity

NPI1295379279
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameRETAKE ON LIFE
Location Address9415 S WESTERN AVEChicago, IL 60643-6700
Mailing Address8008 S Loomis BlvdChicago, IL 60620-3828 · (773) 998-7848
Phone(773) 998-7848
Organization SubpartNo
Authorized OfficialJamillah DavisLicensed Clin Prof Counselor · (773) 998-7848
Enumeration DateNovember 1, 2019
✔ NPI 1295379279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
9415 S WESTERN AVE, Chicago, IL 60643
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Other Names 1

Doing Business AsJamillah Davis

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PHILIP L WARE LCSW
Social Worker (Clinical)
9415 S WESTERN AVE
CHICAGO, IL 60643
Cook County (708) 337-5433
ATRIUM HEALTHCARE SERVICES, LLC
Home Health
9415 S WESTERN AVE, SUITE # 110
CHICAGO, IL 60643
Cook County (773) 445-4550
WELLNESS HOME CARE, INC.
Home Health
9415 S WESTERN AVE, SUITE 109
CHICAGO, IL 60643
Cook County (773) 779-8815
ALICE JEAN GIBSON LCPC
Counselor (Professional)
9415 S WESTERN AVE, SUITE 117
CHICAGO, IL 60643
Cook County (773) 297-2401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retake On Life's NPI number?

The NPI number for Retake On Life is 1295379279. It was assigned to this organization in the NPPES registry on November 1, 2019. The provider is doing business as Jamillah Davis.

Where is Retake On Life located?

Retake On Life is located at 9415 S Western Ave, Chicago, IL 60643. The listed phone number is (773) 998-7848.

What is Retake On Life's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Retake On Life was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.