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NPI Code Detail

MEDICARE: ALTERNATIVE BEHAVIOR TREATMENT CENTERS

MEDICARE: ALTERNATIVE BEHAVIOR TREATMENT CENTERS
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 Agency

General Provider Information

NPI Number : 1336397579
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTERNATIVE BEHAVIOR TREATMENT CENTERS
Provider Business Mailing Address
First Line : 27255 N FAIRFIELD RD
Second Line : SUITE 800
City : MUNDELEIN
State : IL
Zip : 60060-9117
Country : US
Telephone Number : 847-487-9455
Fax Number : 847-487-9360
Provider Business Practice Location Address
First Line : 720 LAKE ST
Second Line :
City : OAK PARK
State : IL
Zip : 60301-1424
Country : US
Telephone Number : 708-386-8145
Fax Number : 708-848-6176
Authorized Official
Title or Position : CEO
Name : MS. ROBIN MCGINNIS
Credential : MSW
Telephone Number : 847-487-9455
Provider Enumeration Date : 08/29/2008
Last Update Date : 09/01/2010

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Directions to “ALTERNATIVE BEHAVIOR TREATMENT CENTERS ” Practice Location

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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.