Maxim A Chasanov, Md Sc

LBN: Maxim A Chasanov, Md Sc
Maxim A Chasanov, Md Sc is an health care organization with primary practice located at 1535 Lake Cook Rd Suite 112, Northbrook IL 60062-1447. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Maxim A Chasanov, Md Sc can be contacted via phone (847) 363-0817, or through Chasanov, Maxim Alexis via phone (847) 363-0817.

Contact Information

Primary practice address
1535 Lake Cook Rd Suite 112 Northbrook IL 60062-1447
Phone: (847) 363-0817
Fax: (847) 509-7984
Website:
Map and Directions
Authorized official contact:
Name: Chasanov, Maxim Alexis Doctor of Medicine (MD)
Phone: (847) 363-0817

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036084874 Illinois

Profile Details

NPI number 1033245105
LBN Legal business name Maxim A Chasanov, Md Sc
DBA Doing business as
Authorized official Chasanov, Maxim Alexis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Dec 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033245105 NPPES
Illinois Other 1606 781 BLUE CROSS/BLUE SHIELD

Popular Providers