Healthcare Provider Details
I. General information
NPI: 1538114392
Provider Name (Legal Business Name): BHC STREAMWOOD MANAGEMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2233 W DIVISION 15TH FLOOR
CHICAGO IL
60622
US
IV. Provider business mailing address
1400 E IRVING PARK ROAD
STREAMWOOD IL
60107
US
V. Phone/Fax
- Phone: 312-773-3300
- Fax: 312-770-3345
- Phone: 630-837-9000
- Fax: 630-540-4285
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273R00000X |
| Taxonomy | Psychiatric Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RONALD
NEPPL
Title or Position: CFO
Credential:
Phone: 630-540-3889