Beverly Behavioral Health, Ltd in Chicago - Adult Mental Health

Beverly Behavioral Health, Ltd - NPI 1588839260

Beverly Behavioral Health, Ltd is a Adult Mental Health in Chicago, Illinois. Beverly Behavioral Health, Ltd practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Beverly Behavioral Health, Ltd is 1588839260. The last update date is 2009-04-30.

Beverly Behavioral Health, Ltd's current location address is 9933 S Western Ave, Chicago, Illinois. You can contact this provider via phone number 7737799700 and fax number 7737799732. The mailing address for Beverly Behavioral Health, Ltd is 9933 S Western Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Beverly Behavioral Health, Ltd
Address 9933 S Western Ave, Chicago, Illinois
Phone Number 7737799700
Fax Number 7737799732
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Powell E Traci
Credentials MD
Telephone Number 7737799700

NPI Number Detail

NPI Number 1588839260
Provider Enumeration Date 2008-04-24
Last Updated Date 2009-04-30

Provider Mailing Address Detail

Address 9933 S Western Ave
City Chicago
State Illinois (IL)
Post Code 606431810
Phone Number 7737799700
Fax Number 7737799732

Provider's Primary Taxonomy Detail

Speciality Adult Mental Health
Taxonomy 261Qm0850X
Licence No 060-009832
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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FAQs about Beverly Behavioral Health, Ltd

What is the Beverly Behavioral Health, Ltd's unique identification number?

The Beverly Behavioral Health, Ltd has been assigned the NPI (National Provider Identifier) Number 1588839260 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Beverly Behavioral Health, Ltd?

The Beverly Behavioral Health, Ltd is situated at 9933 S Western Ave, in the city of Chicago, state of IL, with the zip code 606431810.

What is Beverly Behavioral Health, Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Beverly Behavioral Health, Ltd is Adult Mental Health, and the taxonomy code that classifies this field of practice is 261Qm0850X.

On what date did the Centers for Medicare & Medicaid Services issue the 1588839260 to Beverly Behavioral Health, Ltd?

The Beverly Behavioral Health, Ltd received its 1588839260 assignment from the Centers for Medicare & Medicaid Services on 2008-04-24.

As of what date was the information regarding Beverly Behavioral Health, Ltd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Beverly Behavioral Health, Ltd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-04-30.

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