<Unavail>

LBN: Omni Youth Services, Inc.
<Unavail> is an health care organization with primary practice located at 1111 W Lake Cook Rd , Buffalo Grove IL 60689. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Omni Youth Services, Inc. can be contacted via phone (847) 353-1500, or through Egger, Shanan Matthew via phone (847) 353-1762.

Contact Information

Primary practice address
1111 W Lake Cook Rd Buffalo Grove IL 60689
Phone: (847) 353-1500
Fax: (847) 465-1964
Website:
Map and Directions
Authorized official contact:
Name: Egger, Shanan Matthew CFO
Phone: (847) 353-1762

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1124401179
LBN Legal business name Omni Youth Services, Inc.
DBA Doing business as <Unavail>
Authorized official Egger, Shanan Matthew CFO
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 8th, 2015
Last updated Jan 8th, 2026 - about 10 months 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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