| Integrative Behavioral And Counseling Services | |
|
2021 Midwest Rd Ste 200 Oak Brook IL 60523-1370 | |
| (847) 673-8577 | |
| (847) 568-0411 |
| Full Name | Integrative Behavioral And Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2021 Midwest Rd Ste 200, Oak Brook, Illinois |
| Authorized Official Name and Position | Eugene Isyanov (OWNER) |
| Authorized Official Contact | 8476738577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Behavioral And Counseling Services 8707 Skokie Blvd Ste 207 Skokie IL 60077-2272 Ph: (847) 673-8577 | Integrative Behavioral And Counseling Services 2021 Midwest Rd Ste 200 Oak Brook IL 60523-1370 Ph: (847) 673-8577 |
| NPI Number | 1184495533 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 5496195216 |
|---|---|
| Medicare Enrollment ID | O20240426002214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184495533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Yevgeniy Isyanov |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710962139 PECOS PAC ID: 8820303076 Enrollment ID: I20240509002150 |
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