Healthcare Provider Details

I. General information

NPI: 1235054487
Provider Name (Legal Business Name): GREATER ILLINOIS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E WOODFIELD RD STE 211
SCHAUMBURG IL
60173-6068
US

IV. Provider business mailing address

1600 PROVIDENCE HWY
WALPOLE MA
02081-2553
US

V. Phone/Fax

Practice location:
  • Phone: 561-203-1884
  • 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 State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS FREY
Title or Position: OWNER
Credential:
Phone: 781-801-3801