Illinois Behavioral Care Llc | |
3633 W Lake Ave Ste 307a Glenview IL 60026-5803 | |
(847) 722-2269 | |
Not Available |
Full Name | Illinois Behavioral Care Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 3633 W Lake Ave Ste 307a, Glenview, Illinois |
Authorized Official Name and Position | Eugene Kolkevich (ADMINISTRATOR) |
Authorized Official Contact | 8477222269 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Illinois Behavioral Care Llc 1935 Tanglewood Dr Unit H Glenview IL 60025-1635 Ph: (847) 722-2269 | Illinois Behavioral Care Llc 3633 W Lake Ave Ste 307a Glenview IL 60026-5803 Ph: (847) 722-2269 |
NPI Number | 1437705894 |
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Provider Enumeration Date | 08/12/2019 |
Last Update Date | 02/14/2022 |
Certification Date | 02/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437705894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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