ILLINOIS PSYCH SERVICES PLLC NPI 1073188744

NPI Information

NPI: 1073188744
Provider Name: ILLINOIS PSYCH SERVICES PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
738 E DUNDEE RD
PALATINE, IL
ZIP 60074
Phone: (330) 536-3746
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ILLINOIS PSYCH SERVICES PLLC is a psychiatric/mental health nurse practitioner in Palatine, IL. ILLINOIS PSYCH SERVICES PLLC NPI is 1073188744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

738 E DUNDEE RD
PALATINE, IL
ZIP 60074-858
Phone: (330) 536-3746
Fax: (330) 267-4250

The provider's authorized official is Robert Sean Rae .
The authorized official title is Medical Director and has the following contact phone number (330) 536-3746.

The enumeration date for this NPI number is 5/25/2021 and was last updated on 8/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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