Healthcare Provider Details

I. General information

NPI: 1023858248
Provider Name (Legal Business Name): INTEGRAL BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 PARK AVE STE LL7
BARRINGTON IL
60010-4370
US

IV. Provider business mailing address

11 DOUGLAS AVE STE 251
ELGIN IL
60120-5590
US

V. Phone/Fax

Practice location:
  • Phone: 815-717-4705
  • Fax: 815-717-4365
Mailing address:
  • Phone: 402-202-5818
  • Fax:

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: STEPHANIE ONYEFORO
Title or Position: OWNER
Credential: PMHNP
Phone: 402-202-5818