Organization · Type 2 NPI

Dekalb Behavioral Health Foundation, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Sandwich, IL

NPI number 1487015194 Active

Practice location

100 S Latham St Ste 204, Dasa
Sandwich, IL 60548

Call (815) 786-7544 Map

Mailing address

PO Box 1109
Dekalb, IL 60115-7109

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Dekalb Behavioral Health Foundation, Inc.Mental Health Clinic/Center (Including Community Mental Health Center) Sandwich, IL NPI 1316304058

NPI record

NPI: 1487015194
Entity type: Organization (Type 2)
Issued: Mar 9, 2016
Last updated: Jul 23, 2018
Status: Active
Subpart: Yes of Dekalb Behavioral Health Foundation, Inc.

Other names

<unavail>
Northwestern Medicine Ben Gordon Center · doing business as

Authorized official

Christine Zydek
Director of Finace
(815) 748-2986

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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 1487015194

Dekalb Behavioral Health Foundation, Inc.'s National Provider Identifier is 1487015194, issued on Mar 9, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Sandwich, IL. The record was last updated on Jul 23, 2018.