| Behavioral Services Center | |
|
25975 N Diamond Lake Rd Suite111 Mundelein IL 60060-9400 | |
| (847) 673-8577 | |
| Not Available |
| Full Name | Behavioral Services Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25975 N Diamond Lake Rd, Mundelein, Illinois |
| Authorized Official Name and Position | Eugene Isyanov (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Contact | 8479224326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Services Center 8707 Skokie Blvd 207 Skokie IL 60077-2269 Ph: (847) 673-8577 | Behavioral Services Center 25975 N Diamond Lake Rd Suite111 Mundelein IL 60060-9400 Ph: (847) 673-8577 |
| NPI Number | 1952726010 |
|---|---|
| Provider Enumeration Date | 02/26/2014 |
| Last Update Date | 09/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952726010 | NPI | - | NPPES |
| A-1587-0007-A | Other | IL | DASA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A-1587-0007-A (Illinois) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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