Healthcare Provider Details
I. General information
NPI: 1134977390
Provider Name (Legal Business Name): BHRIL SCHAUMBURG PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
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
1111 N PLAZA DR STE 101
SCHAUMBURG IL
60173-4916
US
V. Phone/Fax
- Phone: 224-208-1247
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QE0002X |
| Taxonomy | Emergency Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084B0040X |
| Taxonomy | Behavioral Neurology & Neuropsychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
NORRIS
Title or Position: OWNER
Credential: MD
Phone: 412-606-6810