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General NPI Number Information
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NPI Number | 1134900913
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Entity Type | Organization
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Legal Business Name | CHICAGO BH HOSPITAL, LLC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 850 W LAWRENCE AVE
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City | CHICAGO
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State | IL
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Zip | 60640-4213
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Country | US
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Telephone | 773-357-6772
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT AND SECRETARY
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Name | BRIAN PHILLIP FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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