Maxim A. Chasanov in Hoffman Estates - Psychiatry

Maxim A. Chasanov - NPI 1124028584

Maxim A. Chasanov is a Psychiatry in Hoffman Estates, Illinois. Maxim A. Chasanov practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Maxim A. Chasanov is 1124028584. The last update date is 2016-11-16.

Maxim A. Chasanov's current location address is 1786 Moon Lake Blvd, Hoffman Estates, Illinois. You can contact this provider via phone number 8477558090 and fax number 8478437393. The mailing address for Maxim A. Chasanov is 1786 Moon Lake Blvd, Hoffman Estates, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Maxim A. Chasanov
Address 1786 Moon Lake Blvd, Hoffman Estates, Illinois
Phone Number 8477558090
Fax Number 8478437393
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1124028584
Provider Enumeration Date 2005-07-28
Last Updated Date 2016-11-16

Provider Mailing Address Detail

Address 1786 Moon Lake Blvd
City Hoffman Estates
State Illinois (IL)
Post Code 601695029
Phone Number 8477558090
Fax Number 8478437393

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 36084874
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36084874 IL --
1606781 IL BLUE CROSS/BLUE SHIELD

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FAQs about Maxim A. Chasanov

What is the Maxim A. Chasanov's unique identification number?

The Maxim A. Chasanov has been assigned the NPI (National Provider Identifier) Number 1124028584 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Maxim A. Chasanov's physical address?

The Maxim A. Chasanov is physically located at 1786 Moon Lake Blvd, in the city of Hoffman Estates, IL, with the postal code 601695029.

What is Maxim A. Chasanov's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Maxim A. Chasanov is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.

On what date did the Maxim A. Chasanov receive its 1124028584 assignment from the Centers for Medicare & Medicaid Services?

The Maxim A. Chasanov was assigned its 1124028584 by the Centers for Medicare & Medicaid Services on 2005-07-28.

When was the information regarding Maxim A. Chasanov, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Maxim A. Chasanov, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-11-16.

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