BHC STREAMWOOD HOSPITAL INC (NPI# 1972058568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972058568 |
Entity Type | Organization |
Organization Name | BHC STREAMWOOD HOSPITAL INC |
Other Organization Name | STREAMWOOD BEHAVIORAL HEALTHCARE SYSTEM |
Practice Address |
1235 Braeburn Dr Elgin IL 60123-1458 |
Mailing Address |
1400 E Irving Park Rd Streamwood IL 60107-3201 |
Practice Telephone | 6304835578 |
Mailing Telephone | 6304835578 |
Enumeration Date | 2016-08-24 |
Last Update Date | 2016-08-26 |
Authorized Official Name | STEVE FILTON (SR VP CFO) |
Authorized Official Telephone | 6107683300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 0004762 | IL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Streamwood Behavioral Healthcare System | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609321298 | Bhc Streamwood Hospital Inc | Clinic/Center | 124 Golfview Ln, Carpentersville, IL 60110-2366 | 2016-08-24 |
1003294745 | Bhc Streamwood Hospital Inc | Psychologist | 251 Amarillo Dr, Carpentersville, IL 60110-1147 | 2015-05-14 |
1366820011 | Bhc Streamwood Hospital Inc | Psychologist | 1235 Braeburn Dr, Elgin, IL 60123-1458 | 2015-05-14 |
1639466915 | Bhc Streamwood Hospital Inc | Psychiatric Residential Treatment Facility | 1360 E Irving Park Rd, Streamwood, IL 60107-3202 | 2011-07-07 |
1033664628 | Bhc Streamwood Hospital Inc | Clinic/Center | 251 Amarillo Dr, Carpentersville, IL 60110-1147 | 2016-08-24 |
1538434873 | Bhc Streamwood Hospital Inc | Psychiatric Hospital | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2012-03-20 |
1073743423 | Bhc Streamwood Hospital Inc | Psychiatric Residential Treatment Facility | 3445 Elmwood Rd, Rockford, IL 61101-9529 | 2009-07-20 |
Street Address |
1235 BRAEBURN DR |
City | ELGIN |
State | IL |
Zip Code | 60123-1458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366820011 | Bhc Streamwood Hospital Inc | Psychologist | 1235 Braeburn Dr, Elgin, IL 60123-1458 | 2015-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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---|---|---|---|---|
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1952589632 | Woodfield Orthopaedics Sports Medicine | Clinic/Center | 750 Fletcher Dr, Suite 305, Elgin, IL 60123-4703 | 2008-02-05 |
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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.