CRAIG V SHOWALTER


Address: 1829 Winnetka Ave, Northfield, IL 60093-3256
Phone: 8474466464

CRAIG V SHOWALTER (NPI# 1548299340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548299340
Entity Type Individual
Full Name CRAIG V SHOWALTER
Credential MD
Practice Address 1829 Winnetka Ave
Northfield
IL 60093-3256
Practice Telephone 8474466464
Practice Fax Number 8474469898
Mailing Telephone 8474466464
Mailing Fax Number 8474469898
Enumeration Date 2006-07-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1829 WINNETKA AVE
City NORTHFIELD
State IL
Zip Code 60093-3256

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Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1962067520 Avicenna Behavioral Health, LLC Psychiatry & Neurology 920 N York Rd Ste 200, Hinsdale, IL 60521-8626 2019-05-08
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Competitor

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City NORTHFIELD
Zip Code 60093

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Dataset Information

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.

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