NPI 1124401179
Omni Youth Services, INC.
Practice location
- Address
- 1111 W Lake Cook Rd, Buffalo Grove, IL 60689
- Phone
- (847) 353-1500
- Fax
- (847) 465-1964
Authorised official
- Name
- Shanan Matthew Egger
- Title
- Cfo
- Phone
- (847) 353-1762
Registered specialties (3)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
Registry record
- NPI
- 1124401179
- Entity type
- Organization
- NPI issued
- 8 Jul 2015
- Record last updated
- 8 Jan 2026
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.