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NPI Code Detail

MEDICARE: ISHINE BEHAVIORAL HEALTH INC

MEDICARE: ISHINE BEHAVIORAL HEALTH INC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1518674092
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISHINE BEHAVIORAL HEALTH INC
Provider Business Mailing Address
First Line : 2300 BARRINGTON RD STE 400
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-2036
Country : US
Telephone Number : 815-947-4463
Fax Number : 815-597-4463
Provider Business Practice Location Address
First Line : 2800 W HIGGINS RD STE 650
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7268
Country : US
Telephone Number : 815-947-4463
Fax Number : 815-597-4463
Authorized Official
Title or Position : PRESIDENT
Name : RAHUL H PATEL
Credential :
Telephone Number : 630-673-5527
Provider Enumeration Date : 11/03/2022
Last Update Date : 10/31/2025

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Directions to “ISHINE BEHAVIORAL HEALTH INC ” Practice Location

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