Individual provider Active NPI

Terry Louis Hanusa, MD

  • Psychiatry Physician
  • Glenview, IL
National Provider Identifier
1144253873
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036065381 Issued in IL
Practice address
1500 Waukegan Rd
Suite 213
Glenview, IL 60025-2100
Phone
(847) 998-5556
Fax
(847) 998-9156
NPI assigned
Jul 8, 2006
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036065381 IL Primary

Addresses

Primary practice location

1500 Waukegan Rd
Suite 213
Glenview, IL 60025-2100

Mailing address

1500 Waukegan Rd
Suite 213
Glenview, IL 60025-2100
Phone (847) 998-5556

Other practice location 1

600 Central Ave Ste 311
Highland Park, IL 60035-5615
Phone (469) 314-9213

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100826001205 IL Practitioner - Psychiatry 6507980570 Reassigns benefits to 1 organization
Practice locations: Glenview, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Success TMS Professional Services, PLLC Psychiatry CurrentSince Feb 18, 2020 Accepting new patients

Locations

1615 S Congress Ave
Ste 200
Delray Beach, FL 33445

1137 W Lawrence Ave
Chicago, IL 60640

1500 Waukegan Rd
Ste 213
Glenview, IL 60025
Phone (630) 656-4307

15 Spinning Wheel Rd
Ste 212
Hinsdale, IL 60521
Phone (561) 870-9158

3200 W Higgins Rd
Ste 104
Hoffman Estates, IL 60169
Phone (630) 503-7444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1144253873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WAUKEGAN RD",
            "address_2": "SUITE 213",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252100",
            "telephone_number": "847-998-5556",
            "fax_number": "847-998-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WAUKEGAN RD",
            "address_2": "SUITE 213",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252100",
            "telephone_number": "847-998-5556",
            "fax_number": "847-998-9156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Central Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600355615",
            "country_code": "US",
            "telephone_number": "469-314-9213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANUSA",
        "first_name": "TERRY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036065381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.