Bridgeway Behavioral Health Llc

LBN: Bridgeway Behavioral Health Llc
Bridgeway Behavioral Health Llc is an health care organization with primary practice located at 1440 Renaissance Dr Ste 125 , Park Ridge IL 60068-1414. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Bridgeway Behavioral Health Llc can be contacted via phone (847) 722-4901, or through Funes, Irma via phone (847) 749-1104.

Contact Information

Primary practice address
1440 Renaissance Dr Ste 125 Park Ridge IL 60068-1414
Phone: (847) 722-4901
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Funes, Irma
Phone: (847) 749-1104

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1659039857
LBN Legal business name Bridgeway Behavioral Health Llc
DBA Doing business as
Authorized official Funes, Irma
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2021
Last updated Mar 8th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659039857 NPPES
Illinois MEDICAID 1578817003

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