Provider Demographics
NPI:1679531792
Name:AFFILIATED MENTAL HEALTH PROFESSIONALS
Entity type:Organization
Organization Name:AFFILIATED MENTAL HEALTH PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-291-8810
Mailing Address - Street 1:135 N ARLINGTON HEIGHTS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8215
Mailing Address - Country:US
Mailing Address - Phone:847-291-8810
Mailing Address - Fax:847-291-8820
Practice Address - Street 1:135 N ARLINGTON HEIGHTS RD STE 105
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-8215
Practice Address - Country:US
Practice Address - Phone:847-291-8810
Practice Address - Fax:847-291-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360737092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208651Medicare ID - Type Unspecified
ILE31001Medicare UPIN