DAVID KUSHNER DO PC NPI 1760020663

NPI Information

NPI: 1760020663
Provider Name: DAVID KUSHNER DO PC

Doing Business As: BRIGHTSIDE CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
290 SPRINGFIELD DR STE 180
BLOOMINGDALE, IL
ZIP 60108
Phone: (224) 205-7863
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DAVID KUSHNER DO PC is a mental health (including community mental health center) clinic center in Bloomingdale, IL. DAVID KUSHNER DO PC NPI is 1760020663. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightside Clinic.

The provider's business location address is:

290 SPRINGFIELD DR STE 180
BLOOMINGDALE, IL
ZIP 60108-240
Phone: (224) 205-7863

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 enumeration date for this NPI number is 12/11/2019 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: 11/14/2023

NPI Synchronization or Removal

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