OMNI YOUTH SERVICES NPI 1194896944

NPI Information

NPI: 1194896944
Provider Name: OMNI YOUTH SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1111 W LAKE COOK RD
BUFFALO GROVE, IL
ZIP 60089
Phone: (847) 353-1500
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OMNI YOUTH SERVICES is a mental health (including community mental health center) clinic center in Buffalo Grove, IL. OMNI YOUTH SERVICES NPI is 1194896944. The provider is registered as an organization entity type.

The provider's business location address is:

1111 W LAKE COOK RD
BUFFALO GROVE, IL
ZIP 60089-926
Phone: (847) 353-1500

The provider's authorized official is Doryce Mccarthy .
The authorized official title is Cfo and has the following contact phone number (847) 353-1758.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
2	251S00000X	Community/Behavioral Health		036-078-450	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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