Provider Demographics
NPI:1548791452
Name:ADVANCED PSYCHIATRIC SOLUTIONS INC.
Entity Type:Organization
Organization Name:ADVANCED PSYCHIATRIC SOLUTIONS INC.
Other - Org Name:HOPEMARK HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABID
Authorized Official - Middle Name:KHALID
Authorized Official - Last Name:NAZEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-853-0087
Mailing Address - Street 1:1721 MOON LAKE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1071
Mailing Address - Country:US
Mailing Address - Phone:630-607-0387
Mailing Address - Fax:630-385-0290
Practice Address - Street 1:1200 HARGER RD STE 200
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1816
Practice Address - Country:US
Practice Address - Phone:630-607-0387
Practice Address - Fax:630-385-0290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084A0401X
IL036128069261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036128069Medicaid
IL211324004Medicare PIN