David Kushner DO PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DAVID KUSHNER DO PC

Doing business as

Aspire Wellness
Brightside clinic

Practice address

400 Lake St Ste 302a
Roselle, IL 60172-3523

Phone

(224) 205-7863

NPI assigned

Dec 11, 2019

Last updated

Feb 22, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

DAVID KUSHNER DO PCAs reported in NPPES

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

Addresses

Other names 3

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

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.

• David Kushner DO PC

  dba Aspire Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Aurora, IL
  • NPI 1508347204
  NPD tax ID
• David Kushner DO PC

  dba Aspire Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belvidere, IL
  • NPI 1518568062
  NPD tax ID
• David Kushner DO PC

  dba Aspire Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tinley Park, IL
  • NPI 1629514120
  NPD tax ID
• David Kushner DO PC

  dba Aspire Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northbrook, IL
  • NPI 1861938359
  NPD tax ID
• David Kushner, DO, PC

  dba Aspire Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottawa, IL
  • NPI 1427652809
  NPD tax ID
• David Kushner, DO, PC

  dba Brightside Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, IL
  • NPI 1750029401
  NPD tax ID

Locations

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1760020663",
    "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": "224-205-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE ST STE 302A",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723523",
            "telephone_number": "224-205-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KUSHNER DO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID KUSHNER DO PC",
        "enumeration_date": "2019-12-11",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "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": "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"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Roselle, IL
• Providers in Roselle, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.