| Northshore Tms, Sc | |
|
977 Lakeview Pkwy Suite 170 Vernon Hills IL 60061-1429 | |
| (847) 592-4447 | |
| (847) 881-0191 |
| Full Name | Northshore Tms, Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 977 Lakeview Pkwy, Vernon Hills, Illinois |
| Authorized Official Name and Position | Christina Crater (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 8475924447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Tms, Sc 977 Lakeview Parkway Suite 190 Vernon Hills IL 60061-1429 Ph: (847) 592-4447 | Northshore Tms, Sc 977 Lakeview Pkwy Suite 170 Vernon Hills IL 60061-1429 Ph: (847) 592-4447 |
| NPI Number | 1295297364 |
|---|---|
| Provider Enumeration Date | 04/05/2019 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Medicare PECOS PAC ID | 0749522233 |
|---|---|
| Medicare Enrollment ID | O20190502002034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295297364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | James S Marks |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1841305018 PECOS PAC ID: 3274581665 Enrollment ID: I20050411000789 |
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