Amen Clinics, Inc Chicago

Organization Active NPI Diagnostic Neuroimaging (Psychiatry & Neurology) Physician · Bannockburn, IL

NPI 1134635618 · NPPES record last updated Jun 24, 2020

Key facts

NPI
1134635618
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X
Legal business name
AMEN CLINICS, INC CHICAGO
Practice address
2333 Waukegan Rd Ste 150
Bannockburn, IL 60015-1563
Phone
(224) 804-9220
Fax
(224) 241-3154
NPI assigned
Dec 20, 2017
Organization subpart
Yes
Parent organization (as reported)
AMEN CLINICS, INC

Authorized official

Name
Christina T McCormick
Title
Corporate Trainer
Phone
(703) 880-4000

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Amen Clinics Inc Walnut Creek (11 organizations share this tax ID)
Part of
Amen Clinics Inc Walnut Creek

Locations

2333 Waukegan Rd
Ste 150
Bannockburn, IL 60015
Phone (224) 804-9220

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084D0003X Yes

Addresses

Primary practice location

2333 Waukegan Rd Ste 150
Bannockburn, IL 60015-1563

Mailing address

2333 Waukegan Rd Ste 150
Bannockburn, IL 60015-1563

Other providers in Bannockburn, IL

All providers in Bannockburn, IL · Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Illinois

Sources for this page

Verify at the official NPI Registry.