Organization Name: | BENCHMARK PSYCHIATRIC SERVICES, LTD. |
NPI Number: | 1013118413 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NATHAN R. JAISINGH (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 11231 Distinctive Dr Orland Park |
State: | IL US |
Postal Code: | 604679458 |
Phone Number: | 7084609833 |
Fax Number: | 7084601117 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 03/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 209004600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |