Healthcare Provider Details

I. General information

NPI: 1023948064
Provider Name (Legal Business Name): MAX CARE BEHAVIORAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 W LAKE ST UNIT 3
ROSELLE IL
60172-3551
US

IV. Provider business mailing address

490 W LAKE ST UNIT 3
ROSELLE IL
60172-3551
US

V. Phone/Fax

Practice location:
  • Phone: 630-550-7252
  • Fax: 866-656-1698
Mailing address:
  • Phone: 630-550-7252
  • Fax: 866-656-1698

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: DR. NOOR FATIMA HUSAIN
Title or Position: CEO
Credential: M.D.
Phone: 630-550-7252