Healthcare Provider Details

I. General information

NPI: 1538434873
Provider Name (Legal Business Name): BHC STREAMWOOD HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E IRVING PARK RD
STREAMWOOD IL
60107-3201
US

IV. Provider business mailing address

1400 E IRVING PARK RD
STREAMWOOD IL
60107-3201
US

V. Phone/Fax

Practice location:
  • Phone: 630-837-9000
  • Fax: 630-540-4297
Mailing address:
  • Phone: 630-837-9000
  • Fax: 630-540-4297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number0004762
License Number StateIL

VIII. Authorized Official

Name: KAREN WILLIAMS
Title or Position: CFO
Credential: CFO
Phone: 630-837-9000