Healthcare Provider Details

I. General information

NPI: 1659275402
Provider Name (Legal Business Name): NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18573 PENNINGTON RD
STERLING IL
61081-9505
US

IV. Provider business mailing address

2960 CHARTRES ST
LA SALLE IL
61301-1031
US

V. Phone/Fax

Practice location:
  • Phone: 815-391-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 StateNULL

VIII. Authorized Official

Name: BRITTON CARLSON
Title or Position: DIR, REVENUE CYCLE
Credential:
Phone: 815-387-5664