BHS PHYSICIAN SERVICES OF ILLINOIS PC (NPI# 1407395346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407395346 |
Entity Type | Organization |
Organization Name | BHS PHYSICIAN SERVICES OF ILLINOIS PC |
Practice Address |
1237 E 1600 North Rd Gilman IL 60938-6112 |
Mailing Address |
160 Chubb Ave Ste 206 Lyndhurst NJ 07071-3526 |
Practice Telephone | 8442331806 |
Enumeration Date | 2017-02-13 |
Last Update Date | 2017-02-13 |
Authorized Official Name | DR. JONATHAN HOREY (PRESIDENT) |
Authorized Official Telephone | 6464799469 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1237 E 1600 NORTH RD |
City | GILMAN |
State | IL |
Zip Code | 60938-6112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972994804 | Bhs of Illinois LLC | Substance Abuse Rehabilitation Facility | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2015-02-13 |
1205452984 | Monica Anne Wright | Nurse Practitioner | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2020-06-18 |
1215404819 | Heartland Banyan, LLC | Substance Abuse Rehabilitation Facility | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2018-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033460100 | Rachelle L Wilken | Massage Therapist | 401 S Crescent St., Gilman, IL 60938 | 2012-09-28 |
1437234564 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 720 S Crescent, Gilman, IL 60938 | 2006-10-26 |
1154401974 | Naran P Dodia | Internal Medicine | 121 E Crescent, Gilman, IL 60938 | 2006-10-16 |
1104803394 | Gilman Nursing Center, LLC | Skilled Nursing Facility | 1390 S Crescent, Route 45 South, Gilman, IL 60938 | 2005-12-28 |
1720505829 | Haley Marie Benner | Speech-Language Pathologist | 215 E 2nd St, Gilman, IL 60938-1301 | 2017-08-29 |
1801908991 | Iroquois Special Education Association | Local Education Agency (LEA) | 108 E Front St, Gilman, IL 60938-1331 | 2006-08-31 |
1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
1427164003 | Iroquois West Unit Dist #10 | Local Education Agency (LEA) | 529 E 2nd St, Gilman, IL 60938-1414 | 2006-08-23 |
1467962621 | Sarah M Allen | Nurse Practitioner | 720b S Crescent St, Gilman, IL 60938-1518 | 2017-10-02 |
1366469132 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 508 E Crescent St, Gilman, IL 60938-1702 | 2006-07-16 |
Find all providers in zip 60938 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
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 |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144741844 | Rose Medical Association, Inc. | Psychiatry & Neurology | 209 W Romeo B Garrett Ave, Peoria, IL 61605-2502 | 2017-07-03 |
1215208491 | Fred M Levin Md Sc | Psychiatry & Neurology | 111 N. Wabash Avenue, Suite 1022, Chicago, IL 60602-1903 | 2012-01-20 |
1568525277 | Usha D Malkerneker | Psychiatry & Neurology | 17100 Dixie Hwy Ste D, Hazel Crest, IL 60429-1485 | 2006-12-18 |
1891899258 | Kenneth Lawrence Moore | Psychiatry & Neurology | 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 | 2006-09-07 |
1508979758 | Charles R Harris | Psychiatry & Neurology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2006-08-15 |
1255340097 | Michael Rachman | Psychiatry & Neurology | 1375 E Schaumburg Road, Suite 260, Schaumburg, IL 60194-3658 | 2006-08-07 |
1245217959 | Raymond Christopher Garcia | Psychiatry & Neurology | 8616 Northern Ave, Rockford, IL 61107-5309 | 2005-12-23 |
1184610107 | Lucy Ibrahim | Psychiatry & Neurology | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2005-09-26 |
1528681764 | Holon Inclusive Behavioral Health | Psychiatry & Neurology | 301 S Main St, Dupo, IL 62239-1325 | 2020-05-21 |
1013555416 | Mathers Recovery LLC | Psychiatry & Neurology | 81 E Grand Ave, Fox Lake, IL 60020-1557 | 2019-12-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.