| Bza Behavioral Health, Llc | |
|
650 E Algonquin Rd Suite 108 Schaumburg IL 60173-3846 | |
| (847) 221-5622 | |
| (847) 221-5688 |
| Full Name | Bza Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 E Algonquin Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Jessica Zaucha (OWNER, PARTNER) |
| Authorized Official Contact | 8472195392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bza Behavioral Health, Llc 650 E Algonquin Rd Suite 108 Schaumburg IL 60173-3846 Ph: (847) 221-5622 | Bza Behavioral Health, Llc 650 E Algonquin Rd Suite 108 Schaumburg IL 60173-3846 Ph: (847) 221-5622 |
| NPI Number | 1326307075 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 01/14/2015 |
| Medicare PECOS PAC ID | 9638492820 |
|---|---|
| Medicare Enrollment ID | O20141218002139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326307075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nicolejoanne Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154619195 PECOS PAC ID: 4183879398 Enrollment ID: I20130219000131 |
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