Provider Demographics
NPI:1285919480
Name:HINSDALE PSYCHIATRY SC
Entity type:Organization
Organization Name:HINSDALE PSYCHIATRY SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAPANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHOKSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-995-9905
Mailing Address - Street 1:P O BOX 4521
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-9621
Mailing Address - Country:US
Mailing Address - Phone:630-995-9905
Mailing Address - Fax:630-995-9908
Practice Address - Street 1:736 N YORK RD
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3535
Practice Address - Country:US
Practice Address - Phone:630-995-9905
Practice Address - Fax:630-995-9908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036110317103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty