MEDICARE: CHICAGO BH HOSPITAL, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2084P0804X	Child & Adolescent Psychiatry Physician
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
3	2084P0802X	Addiction Psychiatry Physician
4	261QM0850X	Adult Mental Health Clinic/Center
5	101YA0400X	Addiction (Substance Use Disorder) Counselor
6	261Q00000X	Clinic/Center
7	261QM0855X	Adolescent and Children Mental Health Clinic/Center
8	103TC2200X	Clinical Child & Adolescent Psychologist
9	2084P0800X	Psychiatry Physician
10	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1134900913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO BH HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	4020 ASPEN GROVE DR STE 900
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-3134
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4213
Country	:	US
Telephone Number	:	773-357-6772
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT AND SECRETARY
Name	:	BRIAN PHILLIP FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	01/20/2026

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