Provider Demographics
NPI:1366507071
Name:AMER & ASSOCIATES SC
Entity Type:Organization
Organization Name:AMER & ASSOCIATES SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WHONER
Authorized Official - Prefix:
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:AMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-351-1770
Mailing Address - Street 1:69 SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-5823
Mailing Address - Country:US
Mailing Address - Phone:630-351-1770
Mailing Address - Fax:630-858-0405
Practice Address - Street 1:121 FAIRFIELD WAY
Practice Address - Street 2:240
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1588
Practice Address - Country:US
Practice Address - Phone:630-351-1770
Practice Address - Fax:630-629-3597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360946582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036034658Medicaid
IL2232005OtherBCBS
IL210021Medicare ID - Type Unspecified
IL036034658Medicaid