PRESENCE BEHAVIORAL HEALTH (NPI# 1649427774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649427774 |
| Entity Type | Organization |
| Organization Name | PRESENCE BEHAVIORAL HEALTH |
| Other Organization Name | PROCARE CENTERS |
| Practice Address |
1820 S 25th Ave Broadview IL 60155-2864 |
| Practice Telephone | 7083383806 |
| Practice Fax Number | 7086811289 |
| Mailing Telephone | 7083383806 |
| Mailing Fax Number | 7086811289 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | MRS. KRISTIN KAMISKI (MANAGER, GENERAL ACCOUNTING) |
| Authorized Official Telephone | 7083383806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 1616027 | 01 |
| Other Name | Type Code |
|---|---|
| ProCare Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225285596 | Presence Behavioral Health | Clinic/Center | 117 S 6th Ave, Maywood, IL 60153-1377 | 2008-08-19 |
| 1598912867 | Presence Behavioral Health | Clinic/Center | 170 N 23rd Ave, Melrose Park, IL 60160-3635 | 2008-08-19 |
| 1629224662 | Presence Behavioral Health | Clinic/Center | 611 N 2nd Ave, Maywood, IL 60153-1111 | 2008-08-11 |
| 1033365010 | Presence Behavioral Health | Clinic/Center | 537 Des Plaines Ave, Forest Park, IL 60130-1859 | 2008-08-11 |
| 1083141493 | Presence Behavioral Health | Community/Behavioral Health | 1127 N Oakley Blvd, Nfc Bldg 3rd Floor, Chicago, IL 60622-3507 | 2017-05-16 |
| 1578919247 | Presence Behavioral Health | Clinic/Center | 9845 W Roosevelt Rd, Westchester, IL 60154-2758 | 2016-05-11 |
| 1841646122 | Presence Behavioral Health | Community/Behavioral Health | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2016-05-05 |
| 1558625277 | Presence Behavioral Health | Clinic/Center | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2012-06-27 |
| 1780831057 | Presence Behavioral Health | Clinic/Center | 1919 Main St, Melrose Park, IL 60160-3737 | 2008-08-19 |
| 1497902761 | Presence Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2008-08-19 |
| Street Address |
1820 S 25TH AVE |
| City | BROADVIEW |
| State | IL |
| Zip Code | 60155-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649312257 | Michael J Fonda | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2007-02-12 |
| 1144842030 | Lyndsey Tan | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2020-05-13 |
| 1609320886 | Grace Mayer | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2016-08-05 |
| 1033543244 | Jamie L Dobkowski | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2013-08-23 |
| 1376988444 | Nadia Gomez-moran | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2013-05-02 |
| 1104104983 | Jackie E Skinner | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2011-07-28 |
| 1558649483 | Maria Andrea Marchetti | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2011-07-26 |
| 1396023347 | Genoveva Perez | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2011-07-25 |
| 1811275837 | Terri Howe | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2011-07-25 |
| 1538315635 | Presence Behavioral Health | Clinic/Center | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176121 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1915-17 W. Roosevelt Rd., Broadview, IL 60155 | 2015-02-06 |
| 1821379736 | Living Healthy Inc | Registered Nurse | 2205 W Roosevelt Road, Broadview, IL 60155 | 2011-09-06 |
| 1023324530 | Erin Reynolds | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2010-08-20 |
| 1285862490 | Patricia M Moser Od PC | Optometrist | 122-24 Broadview Village Square, Broadview, IL 60155 | 2009-06-25 |
| 1295762417 | Kiran Ram Bais | Family Medicine | 2127 S 17th Ave, Broadview, IL 60155 | 2006-06-26 |
| 1982092698 | Tiffany R Budzinski | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2015-01-05 |
| 1760789853 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2011-02-25 |
| 1083121263 | Lisa A Ufkes | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2018-01-09 |
| 1093720203 | Walgreen Co | Pharmacy | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2006-07-29 |
| 1467739904 | Brian Kubeczko | Pharmacist | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2011-11-11 |
| Find all providers in zip 60155 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831580588 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2015-02-16 |
| 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.