Healthcare Provider Details

I. General information

NPI: 1992560353
Provider Name (Legal Business Name): BREIGHANNA N CAREY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 REVERE DR STE 100
NORTHBROOK IL
60062-1590
US

IV. Provider business mailing address

60 REVERE DR STE 100
NORTHBROOK IL
60062-1590
US

V. Phone/Fax

Practice location:
  • Phone: 877-552-6672
  • Fax: 224-306-1878
Mailing address:
  • Phone: 847-220-7298
  • Fax: 224-774-1561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209.029371
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: