Healthcare Provider Details

I. General information

NPI: 1811843626
Provider Name (Legal Business Name): CHICAGO NEUROPSYCHOLOGY INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 LEE ST STE 105
DES PLAINES IL
60016-6556
US

IV. Provider business mailing address

950 LEE ST STE 105
DES PLAINES IL
60016-6556
US

V. Phone/Fax

Practice location:
  • Phone: 877-486-4140
  • Fax: 847-486-4145
Mailing address:
  • Phone: 877-486-4140
  • Fax: 847-486-4145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SARA BELAND
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 224-725-4258