Healthcare Provider Details

I. General information

NPI: 1396655742
Provider Name (Legal Business Name): CHRISTOPHER MEERSMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N PLAZA DR STE 101
SCHAUMBURG IL
60173-4916
US

IV. Provider business mailing address

308 S MAPLE ST
MOUNT PROSPECT IL
60056-3238
US

V. Phone/Fax

Practice location:
  • Phone: 888-234-7628
  • Fax:
Mailing address:
  • Phone: 888-234-7628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: