DAVID KUSHNER DO PC (NPI# 1629514120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629514120 |
| Entity Type | Organization |
| Organization Name | DAVID KUSHNER DO PC |
| Other Organization Name | BRIGHTSIDE CLINIC |
| Practice Address |
8041 186th St Suite B Tinley Park IL 60487-9343 |
| Mailing Address |
333 Skokie Blvd Ste 112 Northbrook IL 60062-1624 |
| Practice Telephone | 7082920044 |
| Enumeration Date | 2017-01-09 |
| 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 |
| Kenji Oyasu MD PC | Former Legal Business 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 |
| 1518568062 | David Kushner Do PC | Clinic/Center | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-11-02 |
| 1760020663 | David Kushner Do PC | Clinic/Center | 290 Springfield Dr Ste 180, Bloomingdale, IL 60108-2240 | 2019-12-11 |
| 1861938359 | David Kushner Do PC | Clinic/Center | 333 Skokie Blvd, Suite 112, Northbrook, IL 60062-1613 | 2017-01-09 |
| Street Address |
8041 186TH ST SUITE B |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60487-9343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
| 1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
| 1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
| 1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
| Find all providers in zip 60487 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346304979 | Grand Prairie Services | Clinic/Center | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2006-12-20 |
| 1093884587 | Professional Counseling Services Ltd | Clinic/Center | 17732 Oak Park Avenue, Tinley Park, IL 60477 | 2006-11-07 |
| 1619100831 | The Office of Adele M. Bryant, LLC | Clinic/Center | 17127 Oak Park Ave, Tinley Park, IL 60477-3405 | 2009-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 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 | TINLEY PARK |
| Zip Code | 60487 |
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.