Omni Youth Services-Vernon

LBN: Omni Youth Services
Omni Youth Services-Vernon is an health care organization with primary practice located at 2900 N Main St , Buffalo Grove IL 60089-2717. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Omni Youth Services can be contacted via phone (847) 634-9360, or through Egger, Shanan via phone (847) 353-1762.

Contact Information

Primary practice address
2900 N Main St Buffalo Grove IL 60089-2717
Phone: (847) 634-9360
Fax: (847) 634-9392
Website:
Map and Directions
Authorized official contact:
Name: Egger, Shanan
Phone: (847) 353-1762

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 08005 Illinois

Profile Details

NPI number 1689814105
LBN Legal business name Omni Youth Services
DBA Doing business as Omni Youth Services-Vernon
Authorized official Egger, Shanan
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 24th, 2009
Last updated Feb 24th, 2009 - about 15 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 1689814105 NPPES
Illinois MEDICAID 08005

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