Healthcare Provider Details

I. General information

NPI: 1821979170
Provider Name (Legal Business Name): FORREST BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD STE 1220
HOFFMAN ESTATES IL
60169-7220
US

IV. Provider business mailing address

2500 W HIGGINS RD STE 1220
HOFFMAN ESTATES IL
60169-7220
US

V. Phone/Fax

Practice location:
  • Phone: 508-209-7089
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: JEFFREY CLUETT
Title or Position: BILLING
Credential:
Phone: 508-209-7089