Healthcare Provider Details

I. General information

NPI: 1295297364
Provider Name (Legal Business Name): NORTHSHORE TMS, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 LAKEVIEW PKWY SUITE 170
VERNON HILLS IL
60061-1429
US

IV. Provider business mailing address

977 LAKEVIEW PKWY STE 190
VERNON HILLS IL
60061-1429
US

V. Phone/Fax

Practice location:
  • Phone: 847-592-4447
  • Fax: 847-881-0191
Mailing address:
  • Phone: 847-592-4447
  • Fax: 847-881-0191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES STEVEN MARKS
Title or Position: PRESIDENT
Credential:
Phone: 847-592-4447