MEDICARE: CHICAGO BH HOSPITAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1336800119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO BH HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	4020 ASPEN GROVE DR STE 900
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-3134
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4720 N CLARENDON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5122
Country	:	US
Telephone Number	:	773-878-9700
Fax Number	:	773-966-2170

Authorized Official
Title or Position	:	VICE PRESIDENT & SECRETARY
Name	:	BRIAN P. FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	01/04/2022
Last Update Date	:	01/20/2026

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