Associated Behavioral Consultants, Inc
LBN: Associated Behavioral Consultants, Inc
Associated Behavioral Consultants, Inc is an health care organization with primary practice located at 4835 W Irving Park Rd , Chicago IL 60641-2719. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as the primary health care specialty.
Associated Behavioral Consultants, Inc can be contacted via phone (773) 777-7413, or through Waltzer, Fred T via phone (773) 777-7413.
Contact Information
Primary practice address
4835 W Irving Park Rd
Chicago IL 60641-2719
Phone: (773) 777-7413
Fax:
Website:
Authorized official contact:
Name: Waltzer, Fred T Licensed Clinical Social Worker (LCSW)
Phone: (773) 777-7413
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 149001505 | Illinois |
Profile Details
NPI number | 1760436398 |
---|---|
LBN Legal business name | Associated Behavioral Consultants, Inc |
DBA Doing business as | |
Authorized official | Waltzer, Fred T Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 19th, 2006 |
Last updated | Oct 20th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760436398 | NPPES |
Illinois | MEDICAID | 36332274-60712-01 |
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