Shark Addiction Treatment

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SHARK ADDICTION TREATMENT

Practice address

1111 N Milwaukee Ave Unit 242
Vernon Hills, IL 60061-1658

Phone

(847) 276-5448

NPI assigned

Aug 21, 2020

Organization subpart

No

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

Authorized official

Name

Brianne Brown, APRN-FPA

Title

FNP-BC

Phone

(847) 276-5448

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1912519786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N MILWAUKEE AVE UNIT 242",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611658",
            "telephone_number": "847-276-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N MILWAUKEE AVE UNIT 242",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611658",
            "telephone_number": "847-276-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARK ADDICTION TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "847-276-5448",
        "authorized_official_credential": "APRN-FPA"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark William Severance, D.C.
• Neal Shah, M.D.
• Shalini Varma MD
• Erin M Shapiro
• Josie Shapiro, PA-C
• Meher Sharma, PSY.D.
• Amanda Beth Sheldon, B.S., M.A.
• Monika Urban Shiba, PSY.D.
• Judith Michelle Shiffman, LCSW
• Kimberly Ann Shively

• Family Nurse Practitioner in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.