St. George

LBN: Maryville Academy
St. George is an health care organization with primary practice located at 1150 N River Rd , Des Plaines IL 60016-1214. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Maryville Academy can be contacted via phone (847) 294-1999, or through Woulfe, Nancy Z via phone (847) 294-1910.

Contact Information

Primary practice address
1150 N River Rd Des Plaines IL 60016-1214
Phone: (847) 294-1999
Fax: (847) 294-2892
Website:
Map and Directions
Authorized official contact:
Name: Woulfe, Nancy Z
Phone: (847) 294-1910

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Illinois

Profile Details

NPI number 1962711218
LBN Legal business name Maryville Academy
DBA Doing business as St. George
Authorized official Woulfe, Nancy Z
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2010
Last updated Jul 8th, 2022 - about 2 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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