QUALITY LIFE PROVIDERS LLC NPI 1538460670

NPI Information

  • NPI: 1538460670
  • Provider Name: QUALITY LIFE PROVIDERS LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Other Name: QUALITY LIFE PROVIDERS, LLC
  • Address: 4166 BLANCHAN AVE
    BROOKFIELD, IL
    ZIP 60513
  • Phone: (847) 980-6325

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NPI Details

QUALITY LIFE PROVIDERS LLC is a psychiatric/mental health nurse practitioner in Brookfield, IL. QUALITY LIFE PROVIDERS LLC NPI is 1538460670. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Quality Life Providers, Llc.

The provider's business location address is:

4166 BLANCHAN AVE
BROOKFIELD, IL
ZIP 60513-802
Phone: (847) 980-6325
Fax: (708) 387-2348

The provider's authorized official is Charles Paul Harper .
The authorized official title is Chief Administrator and has the following contact phone number (847) 980-6325.

The enumeration date for this NPI number is 11/5/2010 and was last updated on 6/7/2011.

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
1363LG0600XNurse PractitionerGerontology209002055ILLINOISNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health209002055ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201008MEDICARE PINILLINOIS
2P52930MEDICAIDILLINOIS
3P52930MEDICARE UPINILLINOIS

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: 11/21/2025

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