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BRIGHTSIDE CLINIC
NPI 1760020663
Clinic/Center - Mental Health (Including Community Mental Health Center) in Roselle, IL

Active since December 11, 2019
400 LAKE ST STE 302A, ROSELLE, IL 60172(224) 205-7863 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 22, 2023, Nov 9, 2020, Nov 3, 2020 and 1 more (4 updates tracked since 2019).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About BRIGHTSIDE CLINIC

This page provides the complete NPI Profile along with additional information for Brightside Clinic, a provider established in Roselle, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1760020663 assigned on December 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Brightside Clinic. The authorized official of this NPI record is Philip Atteberry (Ceo)

NPI
1760020663 Verify this NPI
Provider Legal Name
DAVID KUSHNER DO PC
Other Organization Name
BRIGHTSIDE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 LAKE ST STE 302A ROSELLE, IL 60172
Location Phone
(224) 205-7863
Mailing Address
333 SKOKIE BLVD STE 112 NORTHBROOK, IL 60062
Mailing Phone
(224) 205-7868
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-11-2019
Last Update Date
02-22-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PHILIP ATTEBERRY

Authorized Official Title
CEO
Authorized Official Phone
(224) 205-7868

Reviews for BRIGHTSIDE CLINIC

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Frequently Asked Questions

What is DAVID KUSHNER DO PC's NPI number?

The NPI number assigned to this healthcare provider is 1760020663, enumerated as an "organization" on December 11, 2019.

Where is the provider located?

The provider is located at 400 LAKE ST STE 302A ROSELLE, IL 60172 and the phone number is (224) 205-7863.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).