Organization · Type 2 NPI

BHS Physician Services of Illinois PC

Addiction Medicine (Psychiatry & Neurology) Physician · Gilman, IL

NPI number 1407395346 Active

Practice location

1237 E 1600 North Rd
Gilman, IL 60938-6112

Mailing address

160 Chubb Ave Ste 206
Lyndhurst, NJ 07071-3526

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician 207RA0401XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed
Nurse Practitioner 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

4 other providers at this address

About NPI 1407395346

BHS Physician Services of Illinois PC's National Provider Identifier is 1407395346, issued on Feb 13, 2017. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Gilman, IL. The record was last updated on Feb 13, 2017.