Healthcare Provider Details

I. General information

NPI: 1295567238
Provider Name (Legal Business Name): SILVER LINING INTEGRATED HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 DUNDEE RD STE 902
NORTHBROOK IL
60062-2441
US

IV. Provider business mailing address

3100 DUNDEE RD STE 902
NORTHBROOK IL
60062-2441
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JANE SHEKMAN
Title or Position: OWNER
Credential:
Phone: 888-628-6100