Healthcare Provider Details

I. General information

NPI: 1821929068
Provider Name (Legal Business Name): HOUSING OPTIONS FOR THE MENTALLY ILL IN EVANSTON, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

675 VARSITY DR
ELGIN IL
60120-8176
US

IV. Provider business mailing address

800 AUSTIN ST
EVANSTON IL
60202-3439
US

V. Phone/Fax

Practice location:
  • Phone: 833-610-5774
  • Fax:
Mailing address:
  • Phone: 847-868-8664
  • Fax: 866-877-6126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL ARRENDALE
Title or Position: EMPLOYMENT SPECIALIST
Credential: MHP
Phone: 847-563-0307