DAVID KUSHNER DO PC (NPI# 1760020663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760020663 |
| Entity Type | Organization |
| Organization Name | DAVID KUSHNER DO PC |
| Other Organization Name | BRIGHTSIDE CLINIC |
| Practice Address |
290 Springfield Dr Ste 180 Bloomingdale IL 60108-2240 |
| Mailing Address |
333 Skokie Blvd Ste 112 Northbrook IL 60062-1624 |
| Practice Telephone | 2242057863 |
| Mailing Telephone | 2242057868 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | PHILIP ATTEBERRY (CEO) |
| Authorized Official Telephone | 2242057868 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVID KUSHNER DO PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aspire Wellness | Doing Business As Name - Organization |
| Brightside clinic | Doing Business As Name - Organization |
| Kenneth P Wind MD PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508347204 | David Kushner Do PC | Clinic/Center | 161 S Lincolnway Ste 312, North Aurora, IL 60542-1662 | 2018-08-22 |
| 1629514120 | David Kushner Do PC | Clinic/Center | 8041 186th St, Suite B, Tinley Park, IL 60487-9343 | 2017-01-09 |
| 1518568062 | David Kushner Do PC | Clinic/Center | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-11-02 |
| 1861938359 | David Kushner Do PC | Clinic/Center | 333 Skokie Blvd, Suite 112, Northbrook, IL 60062-1613 | 2017-01-09 |
| Street Address |
290 SPRINGFIELD DR STE 180 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823381 | D & D Counseling Inc | Social Worker | 290 Springfield Dr Ste 180, Bloomingdale, IL 60108-2240 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on DAVID KUSHNER DO PC.
| 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.