NPIMap

Organization Active NPI

David Kushner DO PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Aurora, IL
National Provider Identifier
1508347204
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DAVID KUSHNER DO PC
Practice address
161 S Lincolnway Ste 312
North Aurora, IL 60542-1662
Phone
(630) 405-5089
NPI assigned
Aug 22, 2018
Organization subpart
Yes
Parent organization
DAVID KUSHNER DO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Philip Atteberry
Title
Ceo
Phone
(224) 205-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

161 S Lincolnway Ste 312
North Aurora, IL 60542-1662

Mailing address

333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624
Phone (224) 205-7866

Other names 3

  • Aspire Wellness Doing business as
  • Brightside Clinic Doing business as
  • Kenneth P Wind, MD, PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
David Kushner DO PC7 organizations share this tax ID, including this one
Part of
David Kushner DO PC

Other organizations with this tax ID 6

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

Locations

161 S Lincolnway
Ste 312
North Aurora, IL 60542
Phone (224) 205-7866

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1508347204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD STE 112",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621624",
            "telephone_number": "224-205-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S LINCOLNWAY STE 312",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421662",
            "telephone_number": "630-405-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KUSHNER DO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID KUSHNER DO PC",
        "enumeration_date": "2018-08-22",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "ATTEBERRY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-205-7868"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightside Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightside Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenneth P Wind, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.