1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Psychiatry Neurology
  6. NPI Profile

WISE HEALTH PROFESSIONAL CORPORATION
NPI 1417100157
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since October 28, 2008
4755 N KENMORE AVE, CHICAGO, IL 60640(773) 989-9868 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wise Health Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISE HEALTH PROFESSIONAL CORPORATION (NPI 1417100157) is a healthcare organization registered as a psychiatry in Chicago, Illinois and active in the NPI registry since October 2008. The organization lists Shephali Patel, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1417100157
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameWISE HEALTH PROFESSIONAL CORPORATION
Location Address4755 N KENMORE AVEChicago, IL 60640-5015
Mailing Address2600 Wynncrest DrLong Grove, IL 60047-5033 · (847) 322-9602
Phone(773) 989-9868
Organization SubpartNo
Authorized OfficialShephali PatelChief Operating Officer · (847) 322-9602
Enumeration DateOctober 28, 2008
Last NPPES UpdateNovember 12, 2009
✔ NPI 1417100157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036091776
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4755 N KENMORE AVE, Chicago, IL 60640
Open in Google Maps ↗

Other Identifiers 4

Medicaid036091776IL
Other01637603IL · Blue Cross/blue Shield
Medicare OSCAR/certification212250IL
Medicare OSCAR/certificationIL1064IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHYAM PUPPALA MD
Psychiatry & Neurology (Neurology)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
DR. SHEPHALI PATEL M.D.
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
DR. KRISTIN LEE MOORE M.D.
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (515) 450-2830
MS. AILEEN FELICE ROSENBERG MSW/LCSW
Social Worker (Clinical)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 262-6892
MRS. LISA ANNETTE JOHNSON FNP, DNP
Nurse Practitioner (Family)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
SHYAM M PUPPALA MDSC
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
SHYAM M PUPPALA MDSC
Psychiatry & Neurology (Neurology)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 989-9868
MR. JEFFREY J. CIOLINO M.A., L.C.P.C.
Counselor (Professional)
4755 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 905-9805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wise Health Professional Corporation's NPI number?

The NPI number for Wise Health Professional Corporation is 1417100157. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Wise Health Professional Corporation located?

Wise Health Professional Corporation is located at 4755 N Kenmore Ave, Chicago, IL 60640. The listed phone number is (773) 989-9868.

What is Wise Health Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Wise Health Professional Corporation was last updated on November 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.