NPI Code Details Logo

NPI 1629875455

NPI 1629875455 : EMOTION REHABILITATION ADVISORS INC : GLENVIEW, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629875455
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EMOTION REHABILITATION ADVISORS INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/28/2025
-----------------------------------------------------
    Last Update Date     |    02/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2115 FIR ST 
-----------------------------------------------------
    City                 |    GLENVIEW
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60025-2814
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-913-5244
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 274 
-----------------------------------------------------
    City                 |    GLENVIEW
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60025-0274
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-913-5244
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MR. CALIN  URS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    773-987-1874
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084B0040X
-----------------------------------------------------
    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    364SP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Clinical Nurse Specialist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.