SHARK ADDICTION TREATMENT NPI 1912519786

NPI Information

  • NPI: 1912519786
  • Provider Name: SHARK ADDICTION TREATMENT
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1111 N MILWAUKEE AVE UNIT 242
    VERNON HILLS, IL
    ZIP 60061
  • Phone: (847) 276-5448

Map and Directions

Get Directions

NPI Details

SHARK ADDICTION TREATMENT is a family nurse practitioner in Vernon Hills, IL. SHARK ADDICTION TREATMENT NPI is 1912519786. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1111 N MILWAUKEE AVE UNIT 242
VERNON HILLS, IL
ZIP 60061-658
Phone: (847) 276-5448

The provider's authorized official is Brianne Brown .
The authorized official title is Fnp-bc and has the following contact phone number (847) 276-5448.

The enumeration date for this NPI number is 8/21/2020 and was last updated on 8/28/2020.

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
1207QA0401XFamily MedicineAddiction MedicineNo
2363LF0000XNurse PractitionerFamilyYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.