CHRISTOPHER WOMACK, MD LLC (NPI# 1417501875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417501875 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER WOMACK, MD LLC |
| Practice Address |
60 Revere Dr Ste 100 Northbrook IL 60062-1590 |
| Mailing Address |
Po Box 506 Northbrook IL 60065-0506 |
| Practice Telephone | 2243061879 |
| Practice Fax Number | 2242053757 |
| Mailing Telephone | 2243061879 |
| Mailing Fax Number | 2242053757 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | CHRISTOPHER WOMACK (PRESIDENT) |
| Authorized Official Telephone | 2243061879 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
60 REVERE DR STE 100 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796027 | Joseph Serio | Counselor | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2007-01-16 |
| 1609480243 | John Patrick Moore | Social Worker | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2020-09-01 |
| 1316558471 | Erica Gaddy Aprn | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2020-08-12 |
| 1669083739 | Erica Jane Gaddy Aprn | Nurse Practitioner | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2020-08-12 |
| 1902450315 | Dr. Christopher Womack LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-07-25 |
| 1336709260 | Jeff Palacios, Md, LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-06-13 |
| 1588222335 | Dr. Jeff Palacios, LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-06-05 |
| 1689238883 | Dr. Phoebe Arbogast, LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-04-24 |
| 1730742685 | Phoebe Arbogast, Md, LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-04-17 |
| 1922569334 | Madison Knight | Social Worker | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477670461 | Louis James Kraus | Psychiatry & Neurology | 950 Skokie Blvd, Suite 310, Northbrook, IL 60062-4015 | 2007-03-23 |
| 1851999783 | Plena Medical Group LLC | Psychiatry & Neurology | 1450 Techny Rd, Northbrook, IL 60062-5447 | 2020-10-13 |
| 1902450315 | Dr. Christopher Womack LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2019-07-25 |
| 1639560790 | Dr. Jennifer Kurth LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2015-02-11 |
| 1891113734 | Alexander Timchak Md LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2014-03-28 |
| 1578980876 | Dr Alexander M Timchak LLC | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2014-03-25 |
| 1235575101 | Dr Joanna E Lindell LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2013-05-17 |
| 1972949931 | Joanna E Lindell Do LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2013-05-17 |
| 1275894248 | Vijay V Khilanani-md-llc | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2012-06-06 |
| 1073874459 | Vijay Vivek Khilanani-md-llc | Psychiatry & Neurology | 60 Revere Dr Ste 100, Northbrook, IL 60062-1590 | 2012-06-01 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on CHRISTOPHER WOMACK, MD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.