Healthcare Provider Details

I. General information

NPI: 1972058568
Provider Name (Legal Business Name): BHC STREAMWOOD HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2016
Last Update Date: 08/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 BRAEBURN DR
ELGIN IL
60123-1458
US

IV. Provider business mailing address

1400 E IRVING PARK RD
STREAMWOOD IL
60107-3201
US

V. Phone/Fax

Practice location:
  • Phone: 630-483-5578
  • Fax:
Mailing address:
  • Phone: 630-483-5578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number0004762
License Number StateIL

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SR VP CFO
Credential:
Phone: 610-768-3300