Healthcare Provider Details

I. General information

NPI: 1821799966
Provider Name (Legal Business Name): GEMINI BHIMANI PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E WOODFIELD RD STE 130
SCHAUMBURG IL
60173-5343
US

IV. Provider business mailing address

1100 E WOODFIELD RD STE 130
SCHAUMBURG IL
60173-5343
US

V. Phone/Fax

Practice location:
  • Phone: 847-273-1732
  • Fax:
Mailing address:
  • Phone: 847-273-1732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number041473727
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209.035039
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: