Provider Demographics
NPI:1952599706
Name:BARRY M GERSHUNY MD
Entity Type:Organization
Organization Name:BARRY M GERSHUNY MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GERSHUNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-480-0132
Mailing Address - Street 1:1200 SHERMER RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4500
Mailing Address - Country:US
Mailing Address - Phone:847-480-0132
Mailing Address - Fax:847-480-1348
Practice Address - Street 1:1200 SHERMER RD
Practice Address - Street 2:SUITE 208
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4500
Practice Address - Country:US
Practice Address - Phone:847-480-0132
Practice Address - Fax:847-480-1348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL31602423OtherBLUE CROSS BLUE SHIELD
IL31602423OtherBLUE CROSS BLUE SHIELD