# BHS PHYSICIAN SERVICES OF ILLINOIS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407395346
- **Authorized official:** DR. JONATHAN HOREY (PRESIDENT)
- **Authorized official phone:** (646) 479-9469

## Contact information

- **Practice address:** 1237 E 1600 NORTH RD, GILMAN, IL 60938-6112
- **Practice address phone:** (844) 233-1806
- **Mailing address:** 160 CHUBB AVE STE 206, LYNDHURST, NJ 07071-3526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 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