Healthcare Provider Details

I. General information

NPI: 1962119891
Provider Name (Legal Business Name): SILVER LINING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 MILWAUKEE AVE STE 229
DEERFIELD IL
60015-3513
US

IV. Provider business mailing address

1821 CAMDEN DR
GLENVIEW IL
60025-7617
US

V. Phone/Fax

Practice location:
  • Phone: 888-628-6100
  • Fax: 888-628-8186
Mailing address:
  • Phone: 847-767-0552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANE SHEKMAN
Title or Position: PRINCIPAL
Credential:
Phone: 847-767-0552