MEDICARE: COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	106H00000X	Marriage & Family Therapist
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1306586631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 2912
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60567-2912
Country	:	US
Telephone Number	:	773-651-6809
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 W 69TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60621-1709
Country	:	US
Telephone Number	:	773-651-6809
Fax Number	:

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	DR. COREY DABNEY
Credential	:	PH.D.
Telephone Number	:	773-651-6809

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	07/01/2026

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