VANGUARD BEHAVIORAL HEALTH NPI 1255116976

NPI Information

  • NPI: 1255116976
  • Provider Name: VANGUARD BEHAVIORAL HEALTH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2057 GREEN BAY RD # 1005
    HIGHLAND PARK, IL
    ZIP 60035
  • Phone: (000) 000-0000

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NPI Details

VANGUARD BEHAVIORAL HEALTH is a psychiatric/mental health nurse practitioner in Highland Park, IL. VANGUARD BEHAVIORAL HEALTH NPI is 1255116976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2057 GREEN BAY RD # 1005
HIGHLAND PARK, IL
ZIP 60035-101
Phone: (000) 000-0000

The provider's authorized official is Tristar Mbc .
The authorized official title is Manager and has the following contact phone number (386) 703-9084.

The enumeration date for this NPI number is 8/30/2023 and was last updated on 8/30/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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