Organization
NORTH SHORE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELY M WEINSCHNEIDER PSYD (CLINICAL PSYCHOLOGIST)
(847) 412-1301
Entity
Organization
Contact information
Practice address
900 SKOKIE BLVD, SUITE 215, NORTHBROOK, IL 60062-4012
(847) 412-1301
(847) 412-1306
Mailing address
900 SKOKIE BLVD, SUITE 215, NORTHBROOK, IL 60062-4012
(847) 412-1301
(847) 412-1306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636454
BCBS OF IL
IL
Enumeration date
12/08/2007
Last updated
12/08/2007
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