DAVID KUSHNER DO PC NPI 1629514120

NPI Information

NPI: 1629514120
Provider Name: DAVID KUSHNER DO PC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: BRIGHTSIDE CLINIC
CLIA Number: 14D2285321
Address: 8041 186TH ST
SUITE B
TINLEY PARK, IL
ZIP 60487
Phone: (708) 292-0044

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NPI Details

DAVID KUSHNER DO PC is a mental health (including community mental health center) clinic center in Tinley Park, IL. DAVID KUSHNER DO PC NPI is 1629514120. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightside Clinic.

The provider's business location address is:

8041 186TH ST
SUITE B
TINLEY PARK, IL
ZIP 60487-343
Phone: (708) 292-0044

The provider's authorized official is Philip Atteberry .
The authorized official title is Ceo and has the following contact phone number (224) 205-7868.

The CLIA number assigned to this NPI record is 14D2285321 - other - outpatient treatment prog with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 11/9/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 3/30/2025

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