Provider Demographics
NPI:1295297364
Name:NORTHSHORE TMS, SC
Entity type:Organization
Organization Name:NORTHSHORE TMS, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-592-4447
Mailing Address - Street 1:977 LAKEVIEW PARKWAY
Mailing Address - Street 2:SUITE 190
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1429
Mailing Address - Country:US
Mailing Address - Phone:847-592-4447
Mailing Address - Fax:847-881-0191
Practice Address - Street 1:977 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 170
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1429
Practice Address - Country:US
Practice Address - Phone:847-592-4447
Practice Address - Fax:847-881-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health