Safe Harbor Chicago North in Round Lake Beach - Mental Health
Safe Harbor Chicago North - NPI 1417077538
Safe Harbor Chicago North is a Mental Health in Round Lake Beach, Illinois. Safe Harbor Chicago North practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Safe Harbor Chicago North is 1417077538. The last update date is 2020-08-22.
Safe Harbor Chicago North's current location address is 2213 N Sunrise Dr, Round Lake Beach, Illinois. You can contact this provider via phone number 8472453567 and fax number 8472453573. The mailing address for Safe Harbor Chicago North is 2213 N Sunrise Dr, Round Lake Beach, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Safe Harbor Chicago North |
|---|---|
| Address | 2213 N Sunrise Dr, Round Lake Beach, Illinois |
| Phone Number | 8472453567 |
| Fax Number | 8472453573 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Bennett John Robert |
| Credentials | LCPC |
| Telephone Number | 8472233561 |
NPI Number Detail
| NPI Number | 1417077538 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2213 N Sunrise Dr |
|---|---|
| City | Round Lake Beach |
| State | Illinois (IL) |
| Post Code | 600734049 |
| Phone Number | 8472453567 |
| Fax Number | 8472453573 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the Safe Harbor Chicago North's 1417077538?
The Safe Harbor Chicago North's NPI (National Provider Identifier) Number is 1417077538. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Safe Harbor Chicago North located?
The Safe Harbor Chicago North is located at 2213 N Sunrise Dr, Round Lake Beach, IL 600734049.
What is Safe Harbor Chicago North's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Safe Harbor Chicago North is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date was the 1417077538 assigned to Safe Harbor Chicago North?
The Safe Harbor Chicago North was issued its 1417077538 on 2007-03-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Safe Harbor Chicago North last refreshed?
The information related to the Safe Harbor Chicago North, including its address, specialty, and other relevant details, was last updated on 2020-08-22.