BEHAVIORAL SERVICES CENTER (NPI# 1063837128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063837128 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL SERVICES CENTER |
| Practice Address |
188 W Industrial Dr Suite 100 Elmhurst IL 60126-1623 |
| Mailing Address |
8707 Skokie Blvd Suite 207 Skokie IL 60077-2269 |
| Practice Telephone | 8476738577 |
| Mailing Telephone | 8476738577 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | DR. EUGENE ISYANOV (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 8476738577 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | A-1587-0009-A | IL | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DASA | A-1587-0009-A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225483456 | Behavioral Services Center | Case Management | 161 N Clark St Ste 4700, Chicago, IL 60601-3201 | 2016-04-25 |
| 1134574361 | Behavioral Services Center | Case Management | 188 W Industrial Dr Ste 100, Elmhurst, IL 60126-1608 | 2016-04-25 |
| 1043665276 | Behavioral Services Center | Clinic/Center | 25975 N Diamond Lake Rd Ste 111, Mundelein, IL 60060-9400 | 2016-04-25 |
| 1952726010 | Behavioral Services Center | Clinic/Center | 25975 N Diamond Lake Rd, Suite111, Mundelein, IL 60060-9400 | 2014-02-26 |
| 1962857193 | Behavioral Services Center | Case Management | 310 S Greenleaf St Ste 205, Gurnee, IL 60031 | 2016-04-25 |
| 1801273446 | Behavioral Services Center | Clinic/Center | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 | 2015-05-04 |
| 1013304781 | Behavioral Services Center | Case Management | 161 N Clark St, Chicago, IL 60601-3206 | 2015-04-21 |
| 1679960496 | Behavioral Services Center | Case Management | 310 S Greenleaf St Ste 205, Gurnee, IL 60031-5708 | 2015-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL SERVICES CENTER | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 |
| Street Address |
188 W INDUSTRIAL DR SUITE 100 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528003126 | Prs, LLC | Clinic/Center | 188 W Industrial Dr, Suite 100, Elmhurst, IL 60126-1623 | 2006-06-18 |
| 1598174898 | Chicago Physicians Group LLC | Physical Medicine & Rehabilitation | 188 W Industrial Dr, Ste 110-d, Elmhurst, IL 60126-1623 | 2014-08-12 |
| 1851691091 | Povolny Counseling and Psychological Solutions, LLC | Psychologist | 188 W Industrial Dr, Suite 132, Elmhurst, IL 60126-1623 | 2010-10-21 |
| 1811217623 | Victoria O Dotchev | Anesthesiology | 188 W Industrial Dr, Elmhurst, IL 60126-1623 | 2010-06-03 |
| 1386979102 | Thomas Chester Zimm | Social Worker | 188 W Industrial Dr, Suite 132, Elmhurst, IL 60126-1623 | 2009-10-13 |
| 1932305950 | Gsp United LLC | Nursing Care | 188 W Industrial Dr, Suite 124, Elmhurst, IL 60126-1623 | 2007-06-26 |
| 1346385325 | Rodney N. Maruyama | Social Worker | 188 W Industrial Dr, Suite 220, Elmhurst, IL 60126-1623 | 2007-02-20 |
| 1962506410 | Valerie M Witt | Physician Assistant | 188 W Industrial Dr, Elmhurst, IL 60126-1623 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114333861 | Achieve Recovery and Rehab, Inc. | Clinic/Center | 360 W Butterfield Rd, Elmhurst, IL 60126-5068 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.