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Contact Information

ADVANTAGE BEHAVIORAL HEALTH
1138 N MAIN ST
ALGONQUIN, IL60102-3482
 Phone: 847-658-4224
 Fax: 847-658-4226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ADVANTAGE BEHAVIORAL HEALTH

NPI Number 1760811905
LBN Legal business name ADVANTAGE BEHAVIORAL HEALTH
Authorized official WANA DURPETTI - (DIRECTOR OF EAP SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2013
Last updated 11/07/2013 - About 13 years ago
Identifiers
IL License # 149008798
IL License # 180006721
IL License # 23496
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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