DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OMNI YOUTH SERVICES

MEDICARE: OMNI YOUTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency08005IL
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134369663
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMNI YOUTH SERVICES
Provider Business Mailing Address
First Line : 1111 W LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1926
Country : US
Telephone Number : 847-353-1500
Fax Number : 847-465-1964
Provider Business Practice Location Address
First Line : 210 N WOLF RD
Second Line :
City : WHEELING
State : IL
Zip : 60090-2922
Country : US
Telephone Number : 847-541-0199
Fax Number : 847-808-9772
Authorized Official
Title or Position : CFO
Name : MR. SHANAN EGGER
Credential :
Telephone Number : 847-353-1762
Provider Enumeration Date : 02/24/2009
Last Update Date : 01/08/2026

Similar Medicare Providers

1720525678 — OMNI YOUTH SERVICES
Practice Location Address:
210 N WOLF RD
WHEELING, IL
60090-2922
Practice Phone: 847-353-1500
Practice Fax:
1518435353 — JESSICA HADDAD MA
Practice Location Address:
210 N WOLF RD
WHEELING, IL
60090-2922
Practice Phone: 847-353-1500
Practice Fax:
1285102038 — MICHAEL PREISSING MSW
Practice Location Address:
210 N WOLF RD
WHEELING, IL
60090-2922
Practice Phone: 847-353-1500
Practice Fax:
1528537685 — CRYSTAL TORO MA
Practice Location Address:
210 N WOLF RD
WHEELING, IL
60090-2922
Practice Phone: 847-353-1500
Practice Fax:
1710456785 — NATALIE VELAZQUEZ MA
Practice Location Address:
210 N WOLF RD
WHEELING, IL
60090-2922
Practice Phone: 847-353-1500
Practice Fax:
1043789035 — MIRIAM TORRES MSW
Practice Location Address:
210 N WOLF RD
WHEELING, IL
60090-2922
Practice Phone: 847-353-1500
Practice Fax:

Directions to “OMNI YOUTH SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.