Organization Active NPI

David Kushner, DO, PC

Doing business as Brightside Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, IL
National Provider Identifier
1750029401
Registry record updated May 23, 2022
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
Doing business as
Brightside Clinic
Practice address
24363 Spring Creek Rd Ste a
Washington, IL 61571-9654
Phone
(224) 205-7866
NPI assigned
May 23, 2022
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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 NU Primary

Addresses

Primary practice location

24363 Spring Creek Rd Ste a
Washington, IL 61571-9654

Mailing address

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

Other names 1

  • Brightside Clinic Doing business as

National Provider Directory

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

Other organizations with this tax ID 6

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

Locations

24363 Spring Creek Rd
Ste A
Washington, IL 61571
Phone (224) 205-7866

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1750029401",
    "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": "24363 SPRING CREEK RD STE A",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719654",
            "telephone_number": "224-205-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KUSHNER, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightside Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.