Healthcare Provider Details

I. General information

NPI: 1801556733
Provider Name (Legal Business Name): BEYOND LIMITS BEHAVIORAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2021
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5059 W OAKDALE AVE
CHICAGO IL
60641-5016
US

IV. Provider business mailing address

5059 W OAKDALE AVE
CHICAGO IL
60641-5016
US

V. Phone/Fax

Practice location:
  • Phone: 773-831-9950
  • Fax:
Mailing address:
  • Phone: 773-831-9950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAJAN KURIAKOSE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 773-875-1507