The 83Rd. Professional Group

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

Legal business name

THE 83RD. PROFESSIONAL GROUP

Practice address

6733 Kingery Hwy
Willowbrook, IL 60527-5142

Phone

(630) 850-0600

Fax

(630) 850-0608

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth V Bernardino, M.D.

Title

Partner

Phone

(630) 850-0600

Specialties & licenses 1

Addresses

Tax ID family

83Rd Professional Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• 83Rd Professional Group LLC

  • Psychiatry Physician
  • Willowbrook, IL
  • NPI 1518346170
  NPD tax ID

Practitioners 1

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

• Annette Ochs, LCSW

  • Clinical Social Worker
  • Willowbrook, IL
  • NPI 1952702060
  NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245454479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275142",
            "telephone_number": "630-850-0600",
            "fax_number": "630-850-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275142",
            "telephone_number": "630-850-0600",
            "fax_number": "630-850-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 83RD. PROFESSIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNARDINO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "630-850-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Tapia Gonzalez, APRN
• Garrett R Taylor, DPT
• Team Rehabilitation Il02 LLC
• Jil-Lyn M Tedford, PT
• Test for Virus Inc
• Therapy Works
• Rainu Thomas
• Mary Thuma
• Gail Tischke, DDS, MS
• Roseanne Trevino

• Psychosomatic Medicine Physician in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Psychosomatic Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.