Unknown Individual – Psychiatry Physician, NPI 1093852410
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Provider Addresses for Unknown Individual
250 PARKWAY DRIVE
STE 150 #AT107
LINCOLNSHIRE, IL 60069
Phone: (847) 480-1346
Fax: (224) 545-5075
Type: Location
Shermer Road, Northbrook Park, Northbrook, Cook County, Illinois, 60062, United States
SUITE 208
NORTHBROOK, IL 600624500
Phone: (847) 480-1346
Fax: (847) 480-1348
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-03-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($28).
Total Amount
$57
General + Research + Ownership
Payments
2
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $28 |
| Otsuka America Pharmaceutical, Inc. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60069)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | FL | |
| Family Practice | IL | |
| Clinical Social Worker | IL | |
| Internal Medicine | IL | |
| Family Practice | IL | |
| Mental Health Counselor | IL | |
| - | WI |
Reviews
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