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ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI 1639221302


NPI Information

NPI: 1639221302
Provider Name: ILLINOIS DEPARTMENT OF HUMAN SERVICES

Doing Business As: ELGIN MENTAL HEALTH CENTER

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
750 S STATE ST
ELGIN, IL
ZIP 60123
Phone: (847) 742-1040
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ILLINOIS DEPARTMENT OF HUMAN SERVICES is a psychiatric hospital in Elgin, IL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI is 1639221302. The provider is registered as an organization entity type.
The provider Is Doing Business As Elgin Mental Health Center.

The provider's business location address is:

750 S STATE ST
ELGIN, IL
ZIP 60123-612
Phone: (847) 742-1040
Fax: (847) 429-4910

The provider's authorized official is Raul Almazar .
The authorized official title is Hospital Administrator and has the following contact phone number (847) 742-1040.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 4/8/2008.


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
1283Q00000XPsychiatric HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1144037MEDICARE ID-TYPE UNSPECIFIEDILLINOISADMINASTAR FEDERAL

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

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