DEKALB BEHAVIORAL HEALTH FOUNDATION INC. NPI 1316304058

NPI Information

  • NPI: 1316304058
  • Provider Name: DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: NORTHWESTERN MEDICINE BEN GORDON CENTER
  • CLIA Number: 14D2094651
  • Address: 100 S LATHAM ST STE 204
    SANDWICH, IL
    ZIP 60548
  • Phone: (815) 786-7544

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NPI Details

DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. is a mental health (including community mental health center) clinic center in Sandwich, IL. DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. NPI is 1316304058. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwestern Medicine Ben Gordon Center.

The provider's business location address is:

100 S LATHAM ST STE 204
SANDWICH, IL
ZIP 60548
Phone: (815) 786-7544

The provider's authorized official is Christine Zydek .
The authorized official title is Director Of Finance and has the following contact phone number (815) 756-1521.

The CLIA number assigned to this NPI record is 14D2094651 - other - commty mental health ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2016 and was last updated on 7/23/2018.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)A-5202-0001-AILLINOISYes

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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