A Bridge Back, Inc.

LBN: A Bridge Back, Inc.
A Bridge Back, Inc. is an health care organization with primary practice located at 314 Mchenry Rd , Buffalo Grove IL 60089-2428. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. A Bridge Back, Inc. can be contacted via phone (844) 427-6739, or through Izraylov, Lucien via phone (847) 877-2440.

Contact Information

Primary practice address
314 Mchenry Rd Buffalo Grove IL 60089-2428
Phone: (844) 427-6739
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Izraylov, Lucien MA, CADC, CODP, QMHP
Phone: (847) 877-2440

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1093354037
LBN Legal business name A Bridge Back, Inc.
DBA Doing business as
Authorized official Izraylov, Lucien MA, CADC, CODP, QMHP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2019
Last updated Aug 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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