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Organization
BHS PHYSICIAN SERVICES OF ILLINOIS PC
Active
Organization
BHS PHYSICIAN SERVICES OF ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN HOREY (PRESIDENT)
(646) 479-9469
Entity
Organization
Contact information
Practice address
1237 E 1600 NORTH RD, GILMAN, IL 60938-6112
(844) 233-1806
Mailing address
160 CHUBB AVE STE 206, LYNDHURST, NJ 07071-3526
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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