Charles Reynold Hillenbrand, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036044484 Issued in IL

Practice address

800 Biesterfield Road
Suite 3005
Elk Grove Village, IL 60007-3364

Phone

(847) 437-7172

NPI assigned

Aug 16, 2006

Reactivated

Jan 17, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1063525814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD ROAD",
            "address_2": "SUITE 3005",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073364",
            "telephone_number": "847-437-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD ROAD",
            "address_2": "SUITE 3005",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073364",
            "telephone_number": "847-437-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLENBRAND",
        "first_name": "CHARLES",
        "middle_name": "REYNOLD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-02-18",
        "deactivation_date": "2007-08-06",
        "reactivation_date": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036044484",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01024085A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044484",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Elizabeth Hendron, M.D.
• Henry J Sullivan M D S C
• Ashley Herman, DNP
• Kaitlynn Hess
• Lynn Hickman, MSN, AGACNP-BC
• Lorraine K. Hippner, FNP-BC
• Hiroshi Ueno DDS Ms PLLC
• Alison Hogan, OTRL
• Hollie D Holbach, PT
• Karen Holcombe

• Psychiatry Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.