Alexian Brothers Behavioral Health Hospital
LBN: Alexian Brothers Behavioral Health Hospital
Alexian Brothers Behavioral Health Hospital is an health care organization with primary practice located at 801 Gloucester Dr , Elk Grove Village IL 60007-3319. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Alexian Brothers Behavioral Health Hospital can be contacted via phone (847) 981-5900, or through Mackniskas, Mary Jo via phone (773) 213-0776.
Contact Information
Primary practice address
801 Gloucester Dr
Elk Grove Village IL 60007-3319
Phone: (847) 981-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1023723392 |
|---|---|
| LBN Legal business name | Alexian Brothers Behavioral Health Hospital |
| DBA Doing business as | |
| Authorized official | Mackniskas, Mary Jo |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 20th, 2023 |
| Last updated | Jan 20th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023723392 | NPPES |
| Illinois | Other | A-9905-0003-A | SUPR LICENSE |
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