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NPI Code Detail

MEDICARE: COMPASS HEALTH CENTER OAKBROOK PLLC

MEDICARE: COMPASS HEALTH CENTER OAKBROOK PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center
3261Q00000XClinic/Center

General Provider Information

NPI Number : 1295379972
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASS HEALTH CENTER OAKBROOK PLLC
Provider Business Mailing Address
First Line : 60 REVERE DR STE 100
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-1590
Country : US
Telephone Number : 224-306-1879
Fax Number : 224-306-1878
Provider Business Practice Location Address
First Line : 700 OAKMONT LN
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5551
Country : US
Telephone Number : 224-306-1879
Fax Number : 224-306-1878
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DAVID A SCHREIBER
Credential : M.D.
Telephone Number : 224-306-1879
Provider Enumeration Date : 11/05/2019
Last Update Date : 11/05/2019

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Directions to “COMPASS HEALTH CENTER OAKBROOK PLLC ” Practice Location

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