Healthcare Provider Details

I. General information

NPI: 1013017839
Provider Name (Legal Business Name): ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 MOON LAKE BOULEVARD
HOFFMAN ESTATES IL
60169
US

IV. Provider business mailing address

1650 MOON LAKE BOULEVARD
HOFFMAN ESTATES IL
60169
US

V. Phone/Fax

Practice location:
  • Phone: 800-432-5005
  • Fax:
Mailing address:
  • Phone: 800-432-5005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: LISA NEUMAN
Title or Position: VICE PRESIDENT, BUDGET/DECISION SUP
Credential:
Phone: 847-590-2555