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Organization

ILLINOIS BEHAVIORAL CARE LLC

Active
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Organization

ILLINOIS BEHAVIORAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE KOLKEVICH (ADMINISTRATOR)
(847) 722-2269
Entity
Organization

Contact information

Practice address
3633 W LAKE AVE STE 307A, GLENVIEW, IL 60026-5803
(847) 722-2269
Mailing address
1935 TANGLEWOOD DR UNIT H, GLENVIEW, IL 60025-1635
(847) 722-2269

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—

Other

Enumeration date
08/12/2019
Last updated
02/14/2022
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