Healthcare Provider Details

I. General information

NPI: 1720113285
Provider Name (Legal Business Name): BESTPRACTICES OF NORTHWEST SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W CENTRAL RD
ARLINGTON HEIGHTS IL
60005-2349
US

IV. Provider business mailing address

PO BOX 758682
BALTIMORE MD
21275-0001
US

V. Phone/Fax

Practice location:
  • Phone: 847-618-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: THOM MAYER
Title or Position: PRESIDENT
Credential: MD
Phone: 866-402-4367