Healthcare Provider Details

I. General information

NPI: 1720943871
Provider Name (Legal Business Name): PROANO BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 HARPER DR
ALGONQUIN IL
60102-2086
US

IV. Provider business mailing address

325 HARPER DR
ALGONQUIN IL
60102-2086
US

V. Phone/Fax

Practice location:
  • Phone: 847-254-3884
  • Fax: 949-689-0830
Mailing address:
  • Phone: 847-254-3884
  • Fax: 949-689-0830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DIANE PROANO
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 847-254-3884