Provider Demographics
NPI:1861870883
Name:NORTHWEST PSYCHIATRY, P.C.
Entity type:Organization
Organization Name:NORTHWEST PSYCHIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISRAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:224-655-2487
Mailing Address - Street 1:10 EXECUTIVE CT
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9550
Mailing Address - Country:US
Mailing Address - Phone:224-655-2487
Mailing Address - Fax:
Practice Address - Street 1:10 EXECUTIVE CT
Practice Address - Street 2:SUITE 5
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9550
Practice Address - Country:US
Practice Address - Phone:224-655-2487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.0985792084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty