ILLINOIS PSYCH SERVICES PLLC – Psychiatric/Mental Health Nurse Practitioner, NPI 1073188744

ILLINOIS PSYCH SERVICES PLLC is a healthcare provider. based in Medina, Ohio. specializing in Psychiatric/Mental Health Nurse Practitioner. The NPI Number for ILLINOIS PSYCH SERVICES PLLC is 1073188744

Main info

Organization
Name
ILLINOIS PSYCH SERVICES PLLC
NPI
1073188744
Phone
(330) 536-3746
Address
3593 MEDINA RD STE 181
Authorized Official
ROBERT SEAN RAE MEDICAL DIRECTOR MD
Enumeration Date
25 May 2021
Last Update Date
24 August 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for ILLINOIS PSYCH SERVICES PLLC

  • 3593 MEDINA RD STE 181

    MEDINA, OH 442568182

    Phone: (330) 536-3746

    Fax: (330) 267-4250

    Type: Mailing

  • 738 E DUNDEE RD

    PALATINE, IL 600742858

    Phone: (330) 536-3746

    Fax: (330) 267-4250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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.

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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 44256)

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Reviews

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Frequently asked questions

What unique ID ties claims to ILLINOIS PSYCH SERVICES PLLC?
NPI 1073188744 is assigned to ILLINOIS PSYCH SERVICES PLLC under the national enumeration system.
Is ILLINOIS PSYCH SERVICES PLLC currently active in the NPI registry?
CMS-published data lists ILLINOIS PSYCH SERVICES PLLC as an active registrant.
What kind of provider is ILLINOIS PSYCH SERVICES PLLC?
The page reflects Psychiatric/Mental Health Nurse Practitioner for ILLINOIS PSYCH SERVICES PLLC. Clinical services aligned with this taxonomy classification.
Where does public data place ILLINOIS PSYCH SERVICES PLLC?
The snapshot lists Medina, Ohio for ILLINOIS PSYCH SERVICES PLLC; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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