Behavioral Services Center, P.c. | |
8707 Skokie Blvd Ste 207 Skokie IL 60077 | |
(847) 673-8577 | |
(847) 568-0411 |
Full Name | Behavioral Services Center, P.c. |
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Speciality | Clinic/Center |
Location | 8707 Skokie Blvd Ste 207, Skokie, Illinois |
Authorized Official Name and Position | Eugene Isyanov (CLINICAL SERVICES DIRECTOR) |
Authorized Official Contact | 8476738577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Behavioral Services Center, P.c. 8707 Skokie Blvd Ste 207 Skokie IL 60077-2269 Ph: (847) 673-8577 | Behavioral Services Center, P.c. 8707 Skokie Blvd Ste 207 Skokie IL 60077 Ph: (847) 673-8577 |
NPI Number | 1518036425 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 10/07/2024 |
Certification Date | 10/07/2024 |
Medicare PECOS PAC ID | 9436475514 |
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Medicare Enrollment ID | O20200505000475 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518036425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | A-1587-0003-A (Illinois) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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