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General NPI Number Information
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NPI Number | 1659275402
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS INC.
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 18573 PENNINGTON RD
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City | STERLING
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State | IL
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Zip | 61081-9505
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Country | US
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Telephone | 815-391-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 CHARTRES ST
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City | LA SALLE
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State | IL
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Zip | 61301-1031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIR, REVENUE CYCLE
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Name | BRITTON CARLSON
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Credential |
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Telephone | 815-387-5664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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