Crossroads

LBN: Keith V Bjorge Psyd Pc
Crossroads is an health care organization with primary practice located at 61 S Old Rand Rd , Lake Zurich IL 60047-3127. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Keith V Bjorge Psyd Pc can be contacted via phone (815) 578-4222, or through Bjorge, Keith V via phone (815) 578-4222.

Contact Information

Primary practice address
61 S Old Rand Rd Lake Zurich IL 60047-3127
Phone: (815) 578-4222
Fax: (847) 438-0844
Website:
Map and Directions
Authorized official contact:
Name: Bjorge, Keith V PSYD
Phone: (815) 578-4222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2091057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005483 Illinois

Profile Details

NPI number 1790854636
LBN Legal business name Keith V Bjorge Psyd Pc
DBA Doing business as Crossroads
Authorized official Bjorge, Keith V PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Nov 10th, 2011 - about 14 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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