Provider Demographics
NPI:1841417227
Name:STEVEN H. NEREN, PHD LLC
Entity Type:Organization
Organization Name:STEVEN H. NEREN, PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST84722
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:NEREN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-226-1008
Mailing Address - Street 1:3915 WHITE CLOUD DR
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1729
Mailing Address - Country:US
Mailing Address - Phone:847-226-1008
Mailing Address - Fax:847-982-0267
Practice Address - Street 1:3915 WHITE CLOUD DR
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1729
Practice Address - Country:US
Practice Address - Phone:847-226-1008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-003875103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001608293OtherBCBS
IL391200Medicare PIN