Organization Name: | CHICAGO BRAIN INSTITUT |
NPI Number: | 1083005714 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA SCHERER (PRESIDENT) |
Mailing Address: | 1941 Rohlwing Rd Unit C Rolling Meadows |
State: | IL US |
Postal Code: | 600081338 |
Phone Number: | 8475098260 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2015 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |