QUALITY LIFE PROVIDERS, LLC
NPI 1538460670
Nurse Practitioner - Psychiatric/Mental Health in Brookfield, IL

Active since November 05, 2010
4166 BLANCHAN AVE, BROOKFIELD, IL 60513(847) 980-6325(708) 387-2348 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Quality Life Providers, Llc NPPES

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

QUALITY LIFE PROVIDERS, LLC (NPI 1538460670) is a healthcare organization registered as a psychiatric/mental health in Brookfield, Illinois and active in the NPI registry since November 2010. The organization lists Charles Paul Harper, Chief Administrator, as its authorized official.

NPPES Registry Identity

NPI1538460670
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameQUALITY LIFE PROVIDERS LLC
Location Address4166 BLANCHAN AVEBrookfield, IL 60513-1802
Mailing Address4166 Blanchan AveBrookfield, IL 60513-1802 · (847) 980-6325 · Fax (708) 387-2348
Fax(708) 387-2348
Organization SubpartNo
Authorized OfficialCharles Paul HarperChief Administrator · (847) 980-6325
Enumeration DateNovember 5, 2010
Last NPPES UpdateJune 7, 2011
NPI 1538460670 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 · 209002055
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209002055 (IL)
4166 BLANCHAN AVE, Brookfield, IL 60513

Other Names 1

Other NameQuality Life Providers, Llc

Other Identifiers 3

Medicare PIN201008IL
MedicaidP52930IL
Medicare UPINP52930IL

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 Quality Life Providers LLC's NPI number?

The NPI number for Quality Life Providers LLC is 1538460670. It was assigned to this organization in the NPPES registry on November 5, 2010. The provider is also known as Quality Life Providers, LLC.

Where is Quality Life Providers LLC located?

Quality Life Providers LLC is located at 4166 Blanchan Ave, Brookfield, IL 60513. The listed phone number is (847) 980-6325.

What is Quality Life Providers LLC'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 Quality Life Providers LLC was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.