Healthcare Provider Details

I. General information

NPI: 1629875455
Provider Name (Legal Business Name): EMOTION REHABILITATION ADVISORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 FIR ST
GLENVIEW IL
60025-2814
US

IV. Provider business mailing address

PO BOX 274
GLENVIEW IL
60025-0274
US

V. Phone/Fax

Practice location:
  • Phone: 773-913-5244
  • Fax:
Mailing address:
  • Phone: 773-913-5244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. CALIN URS
Title or Position: CEO
Credential:
Phone: 773-987-1874