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Contact Information

BEHAVIORAL MEDICINE ASSOCIATES LTD.
3000 DUNDEE RD.
SUITE 313
NORTHBROOK, IL60062
 Phone: 847-383-6224
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BEHAVIORAL MEDICINE ASSOCIATES LTD.

NPI # 1770888703
LBN Legal business name BEHAVIORAL MEDICINE ASSOCIATES LTD.
Authorized official OLGA GREEN - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2011
Last updated 04/19/2023 - About 3 years ago
Identifiers
IL License # 071.007850
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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