NPI 1013304781
Behavioral Services Center
Practice location
- Address
- 161 N Clark St, Chicago, IL 60601-3206
- Phone
- (847) 673-8577
- Mailing address
- 8707 Skokie Blvd STE 207, Skokie, IL 60077-2272
Authorised official
- Name
- Eugene Isyanov
- Title
- Clinical Services Director
- Phone
- (847) 673-8577
Registered specialties (3)
Community/Behavioral Health Agency
Primary
Case Management Agency
Substance Use Disorder Rehabilitation Clinic/Center
Registry record
- NPI
- 1013304781
- Entity type
- Organization
- NPI issued
- 21 Apr 2015
- Record last updated
- 3 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.