MEDICARE: NORTHERN ILLINOIS BEHAVIORAL HEALTH GROUP

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1861351652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN ILLINOIS BEHAVIORAL HEALTH GROUP

Provider Business Mailing Address
First Line	:	6653 WEAVER RD STE 106
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61114-8068
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6653 WEAVER RD STE 106
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61114-8068
Country	:	US
Telephone Number	:	312-825-5747
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RANJIT BATTH
Credential	:	LCSW
Telephone Number	:	312-825-5747

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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