Maine Center

LBN: Maine Center
Maine Center is an health care organization with primary practice located at 832 Busse Hwy , Park Ridge IL 60068-2302. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Maine Center can be contacted via phone (847) 696-1570, or through Billingham, David R. via phone (847) 696-1570.

Contact Information

Primary practice address
832 Busse Hwy Park Ridge IL 60068-2302
Phone: (847) 696-1570
Fax: (847) 696-1587
Website:
Map and Directions
Authorized official contact:
Name: Billingham, David R. Licensed Clinical Social Worker (LCSW)
Phone: (847) 696-1570

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1336318617
LBN Legal business name Maine Center
DBA Doing business as
Authorized official Billingham, David R. Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2008
Last updated Feb 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336318617 NPPES
Illinois Other 1615408 BLUE CROSS/BLUE SHIELD

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