Shore Light Behavioral Health of Illinois LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

SHORE LIGHT BEHAVIORAL HEALTH OF ILLINOIS LLC

Practice address

6775 Prosperi Dr
Tinley Park, IL 60477-4789

Phone

(888) 486-6717

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Stephen H Vanhooser

Title

Director of Compliance

Phone

(949) 750-2014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1881486637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 E 1ST AVE STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 PROSPERI DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774789",
            "telephone_number": "888-486-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE LIGHT BEHAVIORAL HEALTH OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "VANHOOSER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "949-750-2014"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann M. Shere, LCSW
• David E Shermulis, D.D.S.
• Haider A Shirazi, M.D.
• Syed Javed Shirazi, M.D.
• Wasif Shirazi, M.D.
• Donovan K Shorts
• Virginia Shrove, LCSW
• Ingrid E Shults, DDS
• Victoria Shusharina, M.D
• Tyler Siebert

• Psychiatric Hospital in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Psychiatric Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.