Healthcare Provider Details

I. General information

NPI: 1023934080
Provider Name (Legal Business Name): ENCALM PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 BRENTWOOD TRL
BOLINGBROOK IL
60490-4948
US

IV. Provider business mailing address

1313 BRENTWOOD TRL
BOLINGBROOK IL
60490-4948
US

V. Phone/Fax

Practice location:
  • Phone: 815-603-6947
  • Fax:
Mailing address:
  • Phone: 815-603-6947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NIRMAL DASS
Title or Position: OWNER
Credential: NP
Phone: 815-603-6947