ILLINOIS PROFESSIONALS HEALTH PROGRAM, LLC
NPI 1760907133
Psychiatry & Neurology - Psychiatry in Northbrook, IL

Active since August 07, 2017
3320 DUNDEE RD, NORTHBROOK, IL 60062(847) 892-7910(847) 892-7911 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, May 23, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Illinois Professionals Health Program, Llc NPPES

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

ILLINOIS PROFESSIONALS HEALTH PROGRAM, LLC (NPI 1760907133) is a healthcare organization registered as a psychiatry in Northbrook, Illinois and active in the NPI registry since August 2017. The organization lists Cynthia Lee Gordon, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1760907133
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameILLINOIS PROFESSIONALS HEALTH PROGRAM, LLC
Location Address3320 DUNDEE RDNorthbrook, IL 60062-2303
Mailing Address3320 Dundee RdNorthbrook, IL 60062-2303 · (847) 892-7910 · Fax (847) 892-7911
Fax(847) 892-7911
Organization SubpartNo
Authorized OfficialCynthia Lee GordonMember Manager · (847) 892-7910
Enumeration DateAugust 7, 2017
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1760907133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
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.
3320 DUNDEE RD, Northbrook, IL 60062

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Professionals Health Program, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Illinois Professionals Health Program, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1992961643
3320 DUNDEE RD
Northbrook, IL 60062
(847) 892-7910
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Illinois Professionals Health Program, LLC's NPI number?

The NPI number for Illinois Professionals Health Program, LLC is 1760907133. It was assigned to this organization in the NPPES registry on August 7, 2017.

Where is Illinois Professionals Health Program, LLC located?

Illinois Professionals Health Program, LLC is located at 3320 Dundee Rd, Northbrook, IL 60062. The listed phone number is (847) 892-7910.

What is Illinois Professionals Health Program, LLC's specialty?

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

Is Illinois Professionals Health Program, LLC enrolled in Medicare?

Yes. Illinois Professionals Health Program, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Professionals Health Program, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Illinois Professionals Health Program, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Illinois Professionals Health Program, LLC was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.