North Shore Wellness Center Ltd in Northbrook - Psychologist
North Shore Wellness Center Ltd - NPI 1609851740
North Shore Wellness Center Ltd is a Psychologist in Northbrook, Illinois. North Shore Wellness Center Ltd practices all healthcare services and medical treatments related to Psychologist. The NPI Number for North Shore Wellness Center Ltd is 1609851740. The last update date is 2020-08-22.
North Shore Wellness Center Ltd's current location address is 606 Academy Dr, Northbrook, Illinois. You can contact this provider via phone number 8475590680 and fax number 8475590859. The mailing address for North Shore Wellness Center Ltd is 606 Academy Dr, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Shore Wellness Center Ltd |
|---|---|
| Address | 606 Academy Dr, Northbrook, Illinois |
| Phone Number | 8475590680 |
| Fax Number | 8475590859 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LIC CLINIC |
|---|---|
| Authorized Official Name | Markin A Richard |
| Credentials | PHD |
| Telephone Number | 7084488470 |
NPI Number Detail
| NPI Number | 1609851740 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 606 Academy Dr |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600622421 |
| Phone Number | 8475590680 |
| Fax Number | 8475590859 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to North Shore Wellness Center Ltd by the Centers for Medicare & Medicaid Services?
The North Shore Wellness Center Ltd has been assigned the NPI (National Provider Identifier) 1609851740. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where North Shore Wellness Center Ltd's facilities are situated?
The facilities of North Shore Wellness Center Ltd are physically located at the following address: 606 Academy Dr, Northbrook, IL, 600622421.
What is North Shore Wellness Center Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The North Shore Wellness Center Ltd's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the North Shore Wellness Center Ltd receive the assignment of its 1609851740 from the Centers for Medicare & Medicaid Services?
The North Shore Wellness Center Ltd was issued its 1609851740 by the Centers for Medicare & Medicaid Services on 2005-12-13.
When was the information regarding North Shore Wellness Center Ltd most recently updated?
The details pertaining to the North Shore Wellness Center Ltd, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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