Phylla House Clinic

LBN: Survivors Circle
Phylla House Clinic is an health care organization with primary practice located at 1332 Greenfield Ave , Waukegan IL 60085-7813. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Diabetes Educator, Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Public Health, State or Local, Ambulatory Health Care Facilities / Prison Health, Ambulatory Health Care Facilities / Recovery Care, Nursing Service Related Providers / Religious Nonmedical Practitioner. Ambulatory Health Care Facilities / Public Health, State or Local is the primary health care specialty. Survivors Circle can be contacted via phone (708) 548-9209, or through Marshall, Robert H via phone (708) 548-9209.

Contact Information

Primary practice address
1332 Greenfield Ave Waukegan IL 60085-7813
Phone: (708) 548-9209
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Robert H
Phone: (708) 548-9209

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Nursing Service Providers / Diabetes Educator 163WD0400X
Agencies / Public Health or Welfare 251K00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X
Ambulatory Health Care Facilities / Prison Health 261QP2400X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X

Profile Details

NPI number 1437916962
LBN Legal business name Survivors Circle
DBA Doing business as Phylla House Clinic
Authorized official Marshall, Robert H
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2024
Last updated Jun 17th, 2024 - about 3 months 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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