VAN BYSSUM ASSOCIATES, PC
NPI 1497949762
Nurse Practitioner - Psychiatric/Mental Health in Glen Ellyn, IL

Active since August 30, 2007
174 S MONTCLAIR AVE, GLEN ELLYN, IL 60137(630) 858-0875(630) 858-0650 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Van Byssum Associates, Pc NPPES

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

VAN BYSSUM ASSOCIATES, PC (NPI 1497949762) is a healthcare organization registered as a psychiatric/mental health in Glen Ellyn, Illinois and active in the NPI registry since August 2007. The organization lists Doris M Van Byssum, President/owner, as its authorized official.

NPPES Registry Identity

NPI1497949762
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVAN BYSSUM ASSOCIATES, PC
Location Address174 S MONTCLAIR AVEGlen Ellyn, IL 60137-6357
Mailing Address174 S Montclair AveGlen Ellyn, IL 60137-6357 · (630) 858-0875 · Fax (630) 858-0650
Fax(630) 858-0650
Organization SubpartNo
Authorized OfficialDoris M Van ByssumPresident/owner · (630) 858-0875
Enumeration DateAugust 30, 2007
Last NPPES UpdateMarch 14, 2017
NPI 1497949762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209.010527041.189584
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071004744 (IL)
174 S MONTCLAIR AVE, Glen Ellyn, IL 60137

Other Identifiers 1

Medicare PIN704040IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Van Byssum Associates, PC's NPI number?

The NPI number for Van Byssum Associates, PC is 1497949762. It was assigned to this organization in the NPPES registry on August 30, 2007.

Where is Van Byssum Associates, PC located?

Van Byssum Associates, PC is located at 174 S Montclair Ave, Glen Ellyn, IL 60137. The listed phone number is (630) 858-0875.

What is Van Byssum Associates, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Van Byssum Associates, PC was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.