| Springhealth Behavioral Health And Integrated Care Illinois, Llc | |
|
501 W Lake St Ste 105 Elmhurst IL 60126-1419 | |
| (888) 515-1793 | |
| Not Available |
| Full Name | Springhealth Behavioral Health And Integrated Care Illinois, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 W Lake St Ste 105, Elmhurst, Illinois |
| Authorized Official Name and Position | Timothy Tyler Whobrey (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5026307249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springhealth Behavioral Health And Integrated Care Illinois, Llc 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 394-2100 | Springhealth Behavioral Health And Integrated Care Illinois, Llc 501 W Lake St Ste 105 Elmhurst IL 60126-1419 Ph: (888) 515-1793 |
| NPI Number | 1053724195 |
|---|---|
| Provider Enumeration Date | 06/06/2014 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053724195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
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