Healthcare Provider Details

I. General information

NPI: 1306586631
Provider Name (Legal Business Name): COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 W 69TH ST
CHICAGO IL
60621-1709
US

IV. Provider business mailing address

PO BOX 2912
NAPERVILLE IL
60567-2912
US

V. Phone/Fax

Practice location:
  • Phone: 773-651-6809
  • Fax:
Mailing address:
  • Phone: 773-651-6809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. COREY DABNEY
Title or Position: CHIEF CLINICAL OFFICER
Credential: PH.D.
Phone: 773-651-6809