Organization · Type 2 NPI

David Kushner Do PC

Mental Health Clinic/Center (Including Community Mental Health Center) · Roselle, IL

NPI number 1760020663 Active

Practice location

400 Lake St Ste 302A
Roselle, IL 60172-3523

Call (224) 205-7863 Map

Mailing address

333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Roselle

Grove Counseling IncMental Health Clinic/Center (Including Community Mental Health Center) Roselle, IL NPI 1447878996

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NPI record

NPI: 1760020663
Entity type: Organization (Type 2)
Issued: Dec 11, 2019
Last updated: Feb 22, 2023
Status: Active
Subpart: Yes of David Kushner Do PC

Other names

<unavail>
Aspire Wellness · doing business as
Brightside Clinic · doing business as
Brightside Clinic · doing business as
Kenneth P Wind MD PC · former legal business name

Authorized official

Philip Atteberry
CEO
(224) 205-7868

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760020663

David Kushner Do PC's National Provider Identifier is 1760020663, issued on Dec 11, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Roselle, IL. The record was last updated on Feb 22, 2023.