Healthcare Provider Details

I. General information

NPI: 1720275548
Provider Name (Legal Business Name): NORMAN CHAPMAN M D & ASSOCIATES S C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 LAKE COOK RD SUITE 115
DEERFIELD IL
60015-5646
US

IV. Provider business mailing address

420 LAKE COOK RD SUITE 115
DEERFIELD IL
60015-5646
US

V. Phone/Fax

Practice location:
  • Phone: 847-940-0340
  • Fax: 847-940-0037
Mailing address:
  • Phone: 847-940-0340
  • Fax: 847-940-0037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number036073781
License Number StateIL

VIII. Authorized Official

Name: DR. NORMAN A CHAPMAN
Title or Position: OWNER
Credential: MD
Phone: 847-940-0340