| Northwestern Medicine | |
|
12 Health Services Dr Dekalb IL 60115-9637 | |
| (815) 756-4875 | |
| Not Available |
| Full Name | Northwestern Medicine |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12 Health Services Dr, Dekalb, Illinois |
| Authorized Official Name and Position | Bettyjo Fortune (FINANCIAL ASSESSOR) |
| Authorized Official Contact | 8157564875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medicine Po Box 1109 Dekalb IL 60115-7109 Ph: () - | Northwestern Medicine 12 Health Services Dr Dekalb IL 60115-9637 Ph: (815) 756-4875 |
| NPI Number | 1306417076 |
|---|---|
| Provider Enumeration Date | 07/05/2021 |
| Last Update Date | 07/05/2021 |
| Certification Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306417076 | NPI | - | NPPES |
| 1316304058 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Dr Moana, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Hillcrest Dr, Dekalb, IL 60115 Phone: 773-656-2738 | |
Thrive Behavioral Connections Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 W Lincoln Hwy Unit A11, Dekalb, IL 60115 Phone: 815-315-7852 | |
Dekalb County Youth Services Bureau Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Grove St, Dekalb, IL 60115 Phone: 815-748-2010 Fax: 815-748-2019 | |
Pyramid Behavioral Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Evergreen Cir, Dekalb, IL 60115 Phone: 773-217-4907 | |
Illinois Neurocare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 | |
Family Center Of Niu Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Wirtz Hall, Dekalb, IL 60115 Phone: 815-753-1684 Fax: 815-753-1627 | |
Association For Individual Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Taylor St, Dekalb, IL 60115 Phone: 630-966-4475 |