Spirit Healthcare, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SPIRIT HEALTHCARE, INC

Practice address

3515 W Howard St
Suite 1007
Skokie, IL 60076-4001

Phone

(847) 564-0972

Fax

(847) 568-0975

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Alan Weissman

Title

Owner

Phone

(847) 568-0972

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1265665673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 W HOWARD ST",
            "address_2": "SUITE 1007",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764001",
            "telephone_number": "847-564-0972",
            "fax_number": "847-568-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W HOWARD ST",
            "address_2": "SUITE 1007",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764001",
            "telephone_number": "847-564-0972",
            "fax_number": "847-568-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-568-0972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.