NPI 1033245105

Maxim a Chasanov, MD Sc

Organisation Psychiatry Physician Northbrook, IL

Practice location

Address: 1535 Lake Cook Rd Suite 112, Northbrook, IL 60062-1447
Phone: (847) 363-0817
Fax: (847) 509-7984
Mailing address: 1535 Lake Cook Road Suite 112, Northbrook, IL 60062-1447

Authorised official

Name: Maxim Alexis Chasanov
Title: President
Phone: (847) 363-0817

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 036084874 (IL)

Other Psychiatry & Neurology providers in Illinois →

Registry record

NPI: 1033245105
Entity type: Organization
NPI issued: 26 Feb 2007
Record last updated: 24 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.