Maxim a Chasanov, MD SC
Maxim a Chasanov, MD SC is a Psychiatry Physician in Northbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
1535 Lake Cook Rd Ste 112Northbrook, IL 60062-1447
Phone: (847) 363-0817
Fax: (847) 509-7984
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 036084874 (IL) |
|---|
Record details
| NPI number | 1033245105 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maxim Chasanov — President · (847) 363-0817 |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | December 24, 2008 |
| Mailing address | 1535 Lake Cook Road, Suite 112, Northbrook, IL 60062-1447 |
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