Organization · Type 2 NPI

Alexian Brothers Behavioral Health Hospital

Substance Abuse Rehabilitation Facility · Elk Grove Village, IL

NPI number 1023723392 Active

Practice location

801 Gloucester Dr
Elk Grove Village, IL 60007-3319

Call (847) 981-5900 Map

Mailing address

1650 Moon Lake Blvd
Hoffman Estates, IL 60169-1010

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Another provider at this address

Colleen Nolan, LPC, CADCCounselor Elk Grove Village, IL NPI 1962986653

NPI record

NPI: 1023723392
Entity type: Organization (Type 2)
Issued: Jan 20, 2023
Last updated: Jan 20, 2023
Status: Active
Subpart: Yes of Alexian Brothers Behavioral Health Hospital

Other names

Foglia Residential Treatment Center · other name

Authorized official

Mary Jo Mackniskas
Sr. Director, Net Revenue and Reimb
(773) 213-0776

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023723392

Alexian Brothers Behavioral Health Hospital's National Provider Identifier is 1023723392, issued on Jan 20, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Elk Grove Village, IL. The record was last updated on Jan 20, 2023.