Neurofeedback/Biofeedback of Chicago

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEUROFEEDBACK/BIOFEEDBACK OF CHICAGO

Practice address

37 Sherwood Ter
Suite 102
Lake Bluff, IL 60044-2255

Phone

(847) 615-1425

Fax

(847) 615-1409

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kris Girdaukas

Title

President

Phone

(847) 615-1425

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1720258510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SHERWOOD TER",
            "address_2": "SUITE 102",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442255",
            "telephone_number": "847-615-1425",
            "fax_number": "847-615-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SHERWOOD TER",
            "address_2": "SUITE 102",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442255",
            "telephone_number": "847-615-1425",
            "fax_number": "847-615-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROFEEDBACK/BIOFEEDBACK OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "GIRDAUKAS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-615-1425",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Bertumen Navares, PHYSICIAN ASSISTANT
• Chaya Naylor
• Hannah Neal, RBT
• Neck to Back Lake County LLC
• Chandini Nerella, BT
• Morgan Roe Newton, P.T.
• Shuk Ching Mable NG
• Nhi Nguyen Ta
• Hanh Duc Nguyen, RPH
• Ronit L Nissim, LPC

• Clinical Psychologist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.