Healthcare Provider Details
I. General information
NPI: 1821713678
Provider Name (Legal Business Name): S & T BEHAVIORAL HEALTH AND MEDICAL CONSULTANTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
136 W HIGGINS RD
HOFFMAN ESTATES IL
60169-4914
US
IV. Provider business mailing address
136 W HIGGINS RD
HOFFMAN ESTATES IL
60169-4914
US
V. Phone/Fax
- Phone: 630-284-3970
- Fax:
- Phone: 630-284-3970
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084B0040X |
| Taxonomy | Behavioral Neurology & Neuropsychiatry Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
ROSENFELD
Title or Position: PRESIDENT
Credential:
Phone: 630-284-3970